Printable score sheets for evaluation and management services

Effective January 1, 2023, the AMA CPT Editorial Panel approved revised coding and updated guidelines for "Other E/M visits" (which includes hospital inpatient, hospital observation, emergency department, nursing facility, home or residence services, and cognitive impairment assessments). CMS is adopting most of the CPT’s revised guidance, including deletion of several CPT codes.

Effective for dates of service (DOS) on and after January 1, 2023, practitioners have the choice to document most E/M visits via medical decision making (MDM) or time, except emergency department visits and cognitive impairment assessments, which are not timed services.

The E/M code and guideline changes are like those already applied to office and other outpatient visits, which were effective for dates of service on and after January 1, 2021.

Be sure to review this document in its entirety to understand these changes effective January 1, 2023. View the details regarding the AMA's 2021 changes to office and outpatient E/M services and the 2023 changes to other E/M visits. Be aware CMS did not adopt the changes regarding prolonged services.

To assist providers with this change, the E/M interactive worksheet (JH)(JL) has been updated. The updated worksheet will function based on the date of service and type of visit. Helpful resources and tips will be available within the tool as an added resource to guide providers in determining the level of E/M service.

Print and fill score sheets

The score sheets are designed to assist only with identifying the appropriate level of service defined by the work documented as rendered using the CMS documentation guidelines for evaluation and management (E/M) services.

To view the complete guidelines published by CMS and the AMA, please refer to the following:

Note: Effective for services on and after 01/01/2021, the print and fill score sheets for the 1995 and 1997 E/M guidelines for office and other outpatient E/M visits are no longer used. 

Note: Effective for services on and after 01/01/2023, the print and fill score sheets for the 1995 and 1997 E/M guidelines for other E/M visits (which includes hospital inpatient, hospital observation, emergency department, nursing facility, home or residence services, and cognitive impairment assessments) are no longer used. 

View the details regarding the AMA's 2021 changes to office and outpatient E/M services and the 2023 changes to other E/M visits.

Note: To provide the highest quality scans on PDF versions, these sheets have been scanned at a high resolution. If you are printing hard copies of the PDF versions to your printer, be sure to select the "Shrink to Fit" option from Adobe Acrobat's Print screen for a clear, compressed copy.