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Documentation Guidelines for Evaluation and Management (E/M) Services

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The Medicare Learning Network® (MLN) Educational Web Guides Documentation Guidelines for Evaluation and Management (E/M) Services page offers providers E/M services information and resources. The following E/M publications can be accessed in the "Downloads" Section below:

  • Evaluation and Management Services Guide (December 2010) – This guide is designed to provide education on evaluation and management services. It includes the following information: medical record documentation, evaluation and management billing and coding considerations, the "1995 Documentation Guidelines for Evaluation and Management Services" and the "1997 Documentation Guidelines for Evaluation and Management Services."
  • 1995 Documentation Guidelines for Evaluation and Management Services.
  • 1997 Documentation Guidelines for Evaluation and Management Services.

E/M services providers may use either version of the documentation guidelines, not a combination of the two, for a patient encounter.

If you would like to contact the MLN, please e-mail us at MLN@cms.hhs.gov.


Downloads

Evaluation and Management (E/M) Services Fact Sheet [PDF, 822KB] 

Evaluation and Management Services Guide [PDF, 4MB] 

1995 Documentation Guidelines For Evaluation and Management Services [PDF, 164KB] 

1997 Documentation Guidelines For Evaluation and Management Services [PDF, 443KB] 

How To Sign Up For MLN Educational Products Electronic Mailing List [PDF, 103KB] 

How To Sign Up For MLN Matters® [PDF, 118KB] 

CMS Electronic Mailing Lists: Keeping Medicare Fee-For-Service Providers Informed [PDF, 410KB] 
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Page Last Modified: 01/26/2012 10:06:27 AM
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