Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 09, 2019
This page contains guidance regarding documentation and payment under the Medicare Physician Fee Schedule for evaluation and management (E/M) visits.
- 1995 Documentation Guidelines For Evaluation and Management Services (PDF)
- 1997 Documentation Guidelines For Evaluation and Management Services (PDF)
- CY 2019 PFS Proposed Rule Documentation Requirements and Payment for Evaluation and Management Visits and Advancing Virtual Care (PDF)
- Physician Fee Schedule (PFS) Payment for Office/Outpatient Evaluation and Management (E/M) Visits – Fact Sheet (PDF) - Updated 01/14/2021
- Evaluation and Management (E/M) Visit Frequently Asked Questions (FAQs) (PDF)
- Evaluation and Management Services MLN Publication
- FAQs: Split (or Shared) Visits and Critical Care Services (PDF) - Posted 04/07/2022
- HCPCS G2211 FAQ (PDF) - Posted 08/26/2024
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.