Evaluation and Management Codes
99281
99282
99283
99284
99285
Critical Care 99291
+99292
There are three key components that
must be met to correctly assign an must be met to correctly correctly assign an
Evaluation and Management code:
History
Exam
Medical Decision Making
CPT E/M Components Other
Nature of the presenting problem Nature of the presenting presenting problem problem
99283 vs. 99284
Time
Critical Care
Medical decision making dictates the highest level code
that can be chosen –
Proper documentation
supports your choice
Medical Decision Making
Levels of Medical Decision Making
Straight Forward
99281
Low Complexity
99282
Moderate Complexity
99283 and 99284
High Complexity
99285
