CPT Codes for Evaluation and Management (E/M)

New patient, 15-29 min

New patient, 30-44 min

New patient, 45-59 min

New patient, 60-74 min

Established patient, 10-19 min

Established patient, 20-29 min

Established patient, 30-39 min

Established patient, 40-54 min

Nurse visit, minimal

Initial hospital care, low (40 min)

Initial hospital care, mod (55 min)

Initial hospital care, high (75 min)

Subsequent hospital care, low (25 min)

Subsequent hospital care, mod (35 min)

Subsequent hospital care, high (50 min)

Hospital discharge, <31 min

Hospital discharge, >30 min

ED visit, straightforward

ED visit, low

ED visit, moderate

ED visit, high

ED visit, high (life threat)

Critical care, 30-74 min

Critical care, each add 30 min

Home visit, new patient, low (20 min)

Home visit, new patient, mod (30 min)

Home visit, new patient, mod-high (60 min)

Home visit, new patient, high (75 min)

Home visit, est patient, low (20 min)

Home visit, est patient, mod (20-30 min)

Home visit, est patient, moderate (40 min)

Home visit, est patient, high (60 min)

Office visit complexity add-on (Longitudinal care)

Pelvic examination (List separately in addition to E/M)

Prolonged outpatient E/M (CMS), each 15 min

Brief emotional/behavioral assessment (e.g., PHQ-9)

Administration of SDOH risk assessment