Evaluation and Management Services Guide

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MLN006764 August 2021Page 1 of 19UPDATESNOTE: We have revised this product with the following updates: Updated for 2021 Medicare Physician Fee Schedule final rule dates and linksCPT Disclaimer-American Medical Association (AMA) NoticeCPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/ HHSAR only copyright 2020 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical FARS\ HHSAR Restrictions Apply to Government schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use.

elements related to a patient’s history depends on clinical judgment and the nature of the presenting problem. Chief Complaint (CC) A CC is a concise statement that describes the symptom, problem, condition, diagnosis, or reason for the . patient encounter. The CC is usually stated in the patient’s own words.

  Services, Management, Evaluation, Clinical, Evaluation and management services