Medicare - E&M Service Rule

  • Evaluation & Management Services CPT codes range from 99202 to 99499.
  • Medicare only pays one E&M code in a day performed by a physician of a group.
  • Medicare does not pay another E&M code of the same day performed by the same or different physicians of similar specialties of the same group.
  • Another E&M code needs to be written off once one E&M code is already paid by Medicare.
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4 comments:

  1. Please update this as 99201 is a deleted code.

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    Replies
    1. Thanks or your comment. It is updated now.

      Delete
  2. what if e/m was performed by another physician of different group similar specialty?

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    Replies
    1. If the group is different then it will get paid until there is any other issue.

      Delete