Evaluation & Management Codes

The Evaluation & Management package includes the 157 most commonly billed services at a fraction of the cost of purchasing individual codes. Code packages are available for both monthly and annual subscription plans, with monthly updates provided for subscribers.

View the table below to see individual code descriptions.

Code Classifications and Descriptions

CategoryCategory DescriptionBilling CodeCode Description
EvaluationEvaluation and Management99091COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D
EvaluationEvaluation and Management99202OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES
EvaluationEvaluation and Management99203OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES
EvaluationEvaluation and Management99204OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES
EvaluationEvaluation and Management99205OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES
EvaluationEvaluation and Management99211OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP
EvaluationEvaluation and Management99212OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN
EvaluationEvaluation and Management99213OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN
EvaluationEvaluation and Management99214OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN
EvaluationEvaluation and Management99215OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN
EvaluationEvaluation and Management992211ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES
EvaluationEvaluation and Management992221ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES
EvaluationEvaluation and Management992231ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES
EvaluationEvaluation and Management99231SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES
EvaluationEvaluation and Management99232SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES
EvaluationEvaluation and Management99233SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES
EvaluationEvaluation and Management99234HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN
EvaluationEvaluation and Management99235HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN
EvaluationEvaluation and Management99236HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN
EvaluationEvaluation and Management99238HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<
EvaluationEvaluation and Management99239HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN
EvaluationEvaluation and Management99242OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES
EvaluationEvaluation and Management99243OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES
EvaluationEvaluation and Management99244OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES
EvaluationEvaluation and Management99245OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES
EvaluationEvaluation and Management99252IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES
EvaluationEvaluation and Management99253IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES
EvaluationEvaluation and Management99254IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES
EvaluationEvaluation and Management99255IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES
EvaluationEvaluation and Management99281EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
EvaluationEvaluation and Management99282EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM
EvaluationEvaluation and Management99283EMERGENCY DEPARTMENT VISIT LOW MDM
EvaluationEvaluation and Management99284EMERGENCY DEPARTMENT VISIT MODERATE MDM
EvaluationEvaluation and Management99285EMERGENCY DEPARTMENT VISIT HIGH MDM
EvaluationEvaluation and Management99288PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS
EvaluationEvaluation and Management99291CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN
EvaluationEvaluation and Management99292CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN
EvaluationEvaluation and Management99304INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN
EvaluationEvaluation and Management99305INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES
EvaluationEvaluation and Management99306INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES
EvaluationEvaluation and Management99307SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES
EvaluationEvaluation and Management99308SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES
EvaluationEvaluation and Management99309SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
EvaluationEvaluation and Management99310SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES
EvaluationEvaluation and Management99315NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME
EvaluationEvaluation and Management99316NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME
EvaluationEvaluation and Management99341HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES
EvaluationEvaluation and Management99342HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES
EvaluationEvaluation and Management99344HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES
EvaluationEvaluation and Management99345HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES
EvaluationEvaluation and Management99347HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES
EvaluationEvaluation and Management99348HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES
EvaluationEvaluation and Management99349HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES
EvaluationEvaluation and Management99350HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES
EvaluationEvaluation and Management99358PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR
EvaluationEvaluation and Management99359PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES
EvaluationEvaluation and Management99360PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES
EvaluationEvaluation and Management99366TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN
EvaluationEvaluation and Management99367TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN
EvaluationEvaluation and Management99368TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN
EvaluationEvaluation and Management99374SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES
EvaluationEvaluation and Management99375SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>
EvaluationEvaluation and Management99377SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN
EvaluationEvaluation and Management99378SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/>
EvaluationEvaluation and Management99379SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN
EvaluationEvaluation and Management99380SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/>
EvaluationEvaluation and Management99381INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR
EvaluationEvaluation and Management99382INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS
EvaluationEvaluation and Management99383INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS
EvaluationEvaluation and Management99384INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR
EvaluationEvaluation and Management99385INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS
EvaluationEvaluation and Management99386INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS
EvaluationEvaluation and Management99387INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>
EvaluationEvaluation and Management99391PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y
EvaluationEvaluation and Management99392PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS
EvaluationEvaluation and Management99393PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS
EvaluationEvaluation and Management99394PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS
EvaluationEvaluation and Management99395PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS
EvaluationEvaluation and Management99396PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS
EvaluationEvaluation and Management99397PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER
EvaluationEvaluation and Management99401PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 15 MIN
EvaluationEvaluation and Management99402PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 30 MIN
EvaluationEvaluation and Management99403PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 45 MIN
EvaluationEvaluation and Management99404PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 60 MIN
EvaluationEvaluation and Management99406TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES
EvaluationEvaluation and Management99407TOBACCO USE CESSATION INTENSIVE >10 MINUTES
EvaluationEvaluation and Management99408ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN
EvaluationEvaluation and Management99409ALCOHOL/SUBSTANCE SCREEN & INTERVENTION >30 MIN
EvaluationEvaluation and Management99411PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M
EvaluationEvaluation and Management99412PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M
EvaluationEvaluation and Management99415PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR
EvaluationEvaluation and Management99416PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL
EvaluationEvaluation and Management99417PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES
EvaluationEvaluation and Management99418PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN
EvaluationEvaluation and Management99421ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES
EvaluationEvaluation and Management99422ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES
EvaluationEvaluation and Management99423ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES
EvaluationEvaluation and Management99424PRINCIPAL CARE MGMT SVC 1ST 30 PHYS/QHP CAL MO
EvaluationEvaluation and Management99425PRINCIPAL CARE MGMT SVC EA ADL 30 PHY/QHP CAL MO
EvaluationEvaluation and Management99426PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO
EvaluationEvaluation and Management99427PRINCIPAL CARE MGMT SVC EA ADDL 30 STAFF CAL MO
EvaluationEvaluation and Management99429UNLISTED PREVENTIVE MEDICINE SERVICE
EvaluationEvaluation and Management99437CHRONIC CARE MGMT SVC PHYS EA ADDL 30 MIN CAL MO
EvaluationEvaluation and Management99439CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO
EvaluationEvaluation and Management99441PHYS/QHP TELEPHONE EVALUATION 5-10 MIN
EvaluationEvaluation and Management99442PHYS/QHP TELEPHONE EVALUATION 11-20 MIN
EvaluationEvaluation and Management99443PHYS/QHP TELEPHONE EVALUATION 21-30 MIN
EvaluationEvaluation and Management99446NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN
EvaluationEvaluation and Management99447NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN
EvaluationEvaluation and Management99448NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN
EvaluationEvaluation and Management99449NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN
EvaluationEvaluation and Management99450BASIC LIFE AND/OR DISABILITY EXAMINATION
EvaluationEvaluation and Management99451NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN
EvaluationEvaluation and Management99452NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN
EvaluationEvaluation and Management99453REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP
EvaluationEvaluation and Management99454REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D
EvaluationEvaluation and Management99455WORK RELATED/MED DBLT XM TREATING PHYS
EvaluationEvaluation and Management99456WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS
EvaluationEvaluation and Management99457REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH
EvaluationEvaluation and Management99458REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO
EvaluationEvaluation and Management99459PELVIC EXAMINATION
EvaluationEvaluation and Management994601ST HOSP/BIRTHING CENTER CARE PER DAY NML NB
EvaluationEvaluation and Management994611ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER
EvaluationEvaluation and Management99462SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN
EvaluationEvaluation and Management994631ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT
EvaluationEvaluation and Management99464ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN
EvaluationEvaluation and Management99465DELIVERY/BIRTHING ROOM RESUSCITATION
EvaluationEvaluation and Management99466CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN
EvaluationEvaluation and Management99467CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN
EvaluationEvaluation and Management994681ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS/<
EvaluationEvaluation and Management99469SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/<
EvaluationEvaluation and Management99471INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS
EvaluationEvaluation and Management99472SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO
EvaluationEvaluation and Management99473SELF-MEAS BP PT EDUCAJ/TRAING & DEV CALIBRATION
EvaluationEvaluation and Management99474SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD
EvaluationEvaluation and Management99475INITIAL PED CRITICAL CARE 2 THRU 5 YEARS
EvaluationEvaluation and Management99476SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS
EvaluationEvaluation and Management99477INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL
EvaluationEvaluation and Management99478SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS
EvaluationEvaluation and Management99479SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS
EvaluationEvaluation and Management99480SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS
EvaluationEvaluation and Management99483ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT
EvaluationEvaluation and Management99484CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS
EvaluationEvaluation and Management99485SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN
EvaluationEvaluation and Management99486SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN
EvaluationEvaluation and Management99487COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO
EvaluationEvaluation and Management99489CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO
EvaluationEvaluation and Management99490CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO
EvaluationEvaluation and Management99491CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH
EvaluationEvaluation and Management994921ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS
EvaluationEvaluation and Management99493SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS
EvaluationEvaluation and Management994941ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS
EvaluationEvaluation and Management99495TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE
EvaluationEvaluation and Management99496TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE
EvaluationEvaluation and Management99497ADVANCE CARE PLANNING FIRST 30 MINS
EvaluationEvaluation and Management99498ADVANCE CARE PLANNING EA ADDL 30 MINS
EvaluationEvaluation and Management99499UNLISTED EVALUATION AND MANAGEMENT SERVICE

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