CMS Coding and Payment Policies

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CMS Coding and Payment Policies

 

The Centers for Medicare & Medicaid Services (CMS) has developed documentation guidelines for use with evaluation and management (E/M) codes. While there are 2 versions of the guidelines (1995 and 1997), either can be used to justify the reporting of a particular E/M code because the CMS allows use of "whichever" version is most advantageous to the physician.

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