SPECIALITY CODE PACKAGES
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.
99091, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99242, 99243, 99244, 99245, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99288, 99291, 99292, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, 99358, 99359, 99360, 99366, 99367, 99368, 99374, 99375, 99377, 99378, 99379, 99380, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 99396, 99397, 99401, 99402, 99403, 99404, 99406, 99407, 99408, 99409, 99411, 99412, 99415, 99416, 99417, 99418, 99421, 99422, 99423, 99424, 99425, 99426, 99427, 99429, 99437, 99439, 99441, 99442, 99443, 99446, 99447, 99448, 99449, 99450, 99451, 99452, 99453, 99454, 99455, 99456, 99457, 99458, 99459, 99460, 99461, 99462, 99463, 99464, 99465, 99466, 99467, 99468, 99469, 99471, 99472, 99473, 99474, 99475, 99476, 99477, 99478, 99479, 99480, 99483, 99484, 99485, 99486, 99487, 99489, 99490, 99491, 99492, 99493, 99494, 99495, 99496, 99497, 99498 & 99499
View the table below to see individual code descriptions.
Code Classifications and Descriptions
| Category | Category Description | Billing Code | Code Description |
| Evaluation | Evaluation and Management | 99091 | COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D |
| Evaluation | Evaluation and Management | 99202 | OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES |
| Evaluation | Evaluation and Management | 99203 | OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES |
| Evaluation | Evaluation and Management | 99204 | OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES |
| Evaluation | Evaluation and Management | 99205 | OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES |
| Evaluation | Evaluation and Management | 99211 | OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP |
| Evaluation | Evaluation and Management | 99212 | OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN |
| Evaluation | Evaluation and Management | 99213 | OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN |
| Evaluation | Evaluation and Management | 99214 | OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN |
| Evaluation | Evaluation and Management | 99215 | OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN |
| Evaluation | Evaluation and Management | 99221 | 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES |
| Evaluation | Evaluation and Management | 99222 | 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES |
| Evaluation | Evaluation and Management | 99223 | 1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES |
| Evaluation | Evaluation and Management | 99231 | SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES |
| Evaluation | Evaluation and Management | 99232 | SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES |
| Evaluation | Evaluation and Management | 99233 | SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES |
| Evaluation | Evaluation and Management | 99234 | HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN |
| Evaluation | Evaluation and Management | 99235 | HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN |
| Evaluation | Evaluation and Management | 99236 | HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN |
| Evaluation | Evaluation and Management | 99238 | HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/< |
| Evaluation | Evaluation and Management | 99239 | HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN |
| Evaluation | Evaluation and Management | 99242 | OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES |
| Evaluation | Evaluation and Management | 99243 | OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES |
| Evaluation | Evaluation and Management | 99244 | OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES |
| Evaluation | Evaluation and Management | 99245 | OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES |
| Evaluation | Evaluation and Management | 99252 | IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES |
| Evaluation | Evaluation and Management | 99253 | IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES |
| Evaluation | Evaluation and Management | 99254 | IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES |
| Evaluation | Evaluation and Management | 99255 | IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES |
| Evaluation | Evaluation and Management | 99281 | EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP |
| Evaluation | Evaluation and Management | 99282 | EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM |
| Evaluation | Evaluation and Management | 99283 | EMERGENCY DEPARTMENT VISIT LOW MDM |
| Evaluation | Evaluation and Management | 99284 | EMERGENCY DEPARTMENT VISIT MODERATE MDM |
| Evaluation | Evaluation and Management | 99285 | EMERGENCY DEPARTMENT VISIT HIGH MDM |
| Evaluation | Evaluation and Management | 99288 | PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS |
| Evaluation | Evaluation and Management | 99291 | CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN |
| Evaluation | Evaluation and Management | 99292 | CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN |
| Evaluation | Evaluation and Management | 99304 | INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN |
| Evaluation | Evaluation and Management | 99305 | INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES |
| Evaluation | Evaluation and Management | 99306 | INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES |
| Evaluation | Evaluation and Management | 99307 | SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES |
| Evaluation | Evaluation and Management | 99308 | SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES |
| Evaluation | Evaluation and Management | 99309 | SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES |
| Evaluation | Evaluation and Management | 99310 | SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES |
| Evaluation | Evaluation and Management | 99315 | NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME |
| Evaluation | Evaluation and Management | 99316 | NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME |
| Evaluation | Evaluation and Management | 99341 | HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES |
| Evaluation | Evaluation and Management | 99342 | HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES |
| Evaluation | Evaluation and Management | 99344 | HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES |
| Evaluation | Evaluation and Management | 99345 | HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES |
| Evaluation | Evaluation and Management | 99347 | HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES |
| Evaluation | Evaluation and Management | 99348 | HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES |
| Evaluation | Evaluation and Management | 99349 | HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES |
| Evaluation | Evaluation and Management | 99350 | HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES |
| Evaluation | Evaluation and Management | 99358 | PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR |
| Evaluation | Evaluation and Management | 99359 | PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES |
| Evaluation | Evaluation and Management | 99360 | PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES |
| Evaluation | Evaluation and Management | 99366 | TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN |
| Evaluation | Evaluation and Management | 99367 | TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN |
| Evaluation | Evaluation and Management | 99368 | TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN |
| Evaluation | Evaluation and Management | 99374 | SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES |
| Evaluation | Evaluation and Management | 99375 | SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/> |
| Evaluation | Evaluation and Management | 99377 | SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN |
| Evaluation | Evaluation and Management | 99378 | SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/> |
| Evaluation | Evaluation and Management | 99379 | SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN |
| Evaluation | Evaluation and Management | 99380 | SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/> |
| Evaluation | Evaluation and Management | 99381 | INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR |
| Evaluation | Evaluation and Management | 99382 | INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS |
| Evaluation | Evaluation and Management | 99383 | INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS |
| Evaluation | Evaluation and Management | 99384 | INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR |
| Evaluation | Evaluation and Management | 99385 | INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS |
| Evaluation | Evaluation and Management | 99386 | INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS |
| Evaluation | Evaluation and Management | 99387 | INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> |
| Evaluation | Evaluation and Management | 99391 | PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y |
| Evaluation | Evaluation and Management | 99392 | PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS |
| Evaluation | Evaluation and Management | 99393 | PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS |
| Evaluation | Evaluation and Management | 99394 | PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS |
| Evaluation | Evaluation and Management | 99395 | PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS |
| Evaluation | Evaluation and Management | 99396 | PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS |
| Evaluation | Evaluation and Management | 99397 | PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER |
| Evaluation | Evaluation and Management | 99401 | PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 15 MIN |
| Evaluation | Evaluation and Management | 99402 | PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 30 MIN |
| Evaluation | Evaluation and Management | 99403 | PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 45 MIN |
| Evaluation | Evaluation and Management | 99404 | PREV MED CNSL&/RSK FCTR RDCTJ INDV APPROX 60 MIN |
| Evaluation | Evaluation and Management | 99406 | TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES |
| Evaluation | Evaluation and Management | 99407 | TOBACCO USE CESSATION INTENSIVE >10 MINUTES |
| Evaluation | Evaluation and Management | 99408 | ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN |
| Evaluation | Evaluation and Management | 99409 | ALCOHOL/SUBSTANCE SCREEN & INTERVENTION >30 MIN |
| Evaluation | Evaluation and Management | 99411 | PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M |
| Evaluation | Evaluation and Management | 99412 | PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M |
| Evaluation | Evaluation and Management | 99415 | PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR |
| Evaluation | Evaluation and Management | 99416 | PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL |
| Evaluation | Evaluation and Management | 99417 | PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES |
| Evaluation | Evaluation and Management | 99418 | PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN |
| Evaluation | Evaluation and Management | 99421 | ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES |
| Evaluation | Evaluation and Management | 99422 | ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES |
| Evaluation | Evaluation and Management | 99423 | ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES |
| Evaluation | Evaluation and Management | 99424 | PRINCIPAL CARE MGMT SVC 1ST 30 PHYS/QHP CAL MO |
| Evaluation | Evaluation and Management | 99425 | PRINCIPAL CARE MGMT SVC EA ADL 30 PHY/QHP CAL MO |
| Evaluation | Evaluation and Management | 99426 | PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO |
| Evaluation | Evaluation and Management | 99427 | PRINCIPAL CARE MGMT SVC EA ADDL 30 STAFF CAL MO |
| Evaluation | Evaluation and Management | 99429 | UNLISTED PREVENTIVE MEDICINE SERVICE |
| Evaluation | Evaluation and Management | 99437 | CHRONIC CARE MGMT SVC PHYS EA ADDL 30 MIN CAL MO |
| Evaluation | Evaluation and Management | 99439 | CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO |
| Evaluation | Evaluation and Management | 99441 | PHYS/QHP TELEPHONE EVALUATION 5-10 MIN |
| Evaluation | Evaluation and Management | 99442 | PHYS/QHP TELEPHONE EVALUATION 11-20 MIN |
| Evaluation | Evaluation and Management | 99443 | PHYS/QHP TELEPHONE EVALUATION 21-30 MIN |
| Evaluation | Evaluation and Management | 99446 | NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN |
| Evaluation | Evaluation and Management | 99447 | NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN |
| Evaluation | Evaluation and Management | 99448 | NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN |
| Evaluation | Evaluation and Management | 99449 | NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN |
| Evaluation | Evaluation and Management | 99450 | BASIC LIFE AND/OR DISABILITY EXAMINATION |
| Evaluation | Evaluation and Management | 99451 | NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN |
| Evaluation | Evaluation and Management | 99452 | NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN |
| Evaluation | Evaluation and Management | 99453 | REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP |
| Evaluation | Evaluation and Management | 99454 | REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D |
| Evaluation | Evaluation and Management | 99455 | WORK RELATED/MED DBLT XM TREATING PHYS |
| Evaluation | Evaluation and Management | 99456 | WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS |
| Evaluation | Evaluation and Management | 99457 | REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH |
| Evaluation | Evaluation and Management | 99458 | REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO |
| Evaluation | Evaluation and Management | 99459 | PELVIC EXAMINATION |
| Evaluation | Evaluation and Management | 99460 | 1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB |
| Evaluation | Evaluation and Management | 99461 | 1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER |
| Evaluation | Evaluation and Management | 99462 | SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN |
| Evaluation | Evaluation and Management | 99463 | 1ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT |
| Evaluation | Evaluation and Management | 99464 | ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN |
| Evaluation | Evaluation and Management | 99465 | DELIVERY/BIRTHING ROOM RESUSCITATION |
| Evaluation | Evaluation and Management | 99466 | CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN |
| Evaluation | Evaluation and Management | 99467 | CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN |
| Evaluation | Evaluation and Management | 99468 | 1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS/< |
| Evaluation | Evaluation and Management | 99469 | SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/< |
| Evaluation | Evaluation and Management | 99471 | INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS |
| Evaluation | Evaluation and Management | 99472 | SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO |
| Evaluation | Evaluation and Management | 99473 | SELF-MEAS BP PT EDUCAJ/TRAING & DEV CALIBRATION |
| Evaluation | Evaluation and Management | 99474 | SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD |
| Evaluation | Evaluation and Management | 99475 | INITIAL PED CRITICAL CARE 2 THRU 5 YEARS |
| Evaluation | Evaluation and Management | 99476 | SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS |
| Evaluation | Evaluation and Management | 99477 | INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL |
| Evaluation | Evaluation and Management | 99478 | SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS |
| Evaluation | Evaluation and Management | 99479 | SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS |
| Evaluation | Evaluation and Management | 99480 | SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS |
| Evaluation | Evaluation and Management | 99483 | ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT |
| Evaluation | Evaluation and Management | 99484 | CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS |
| Evaluation | Evaluation and Management | 99485 | SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN |
| Evaluation | Evaluation and Management | 99486 | SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN |
| Evaluation | Evaluation and Management | 99487 | COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO |
| Evaluation | Evaluation and Management | 99489 | CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO |
| Evaluation | Evaluation and Management | 99490 | CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO |
| Evaluation | Evaluation and Management | 99491 | CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH |
| Evaluation | Evaluation and Management | 99492 | 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS |
| Evaluation | Evaluation and Management | 99493 | SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS |
| Evaluation | Evaluation and Management | 99494 | 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS |
| Evaluation | Evaluation and Management | 99495 | TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE |
| Evaluation | Evaluation and Management | 99496 | TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE |
| Evaluation | Evaluation and Management | 99497 | ADVANCE CARE PLANNING FIRST 30 MINS |
| Evaluation | Evaluation and Management | 99498 | ADVANCE CARE PLANNING EA ADDL 30 MINS |
| Evaluation | Evaluation and Management | 99499 | UNLISTED EVALUATION AND MANAGEMENT SERVICE |