New (ED) Professional (E/M) Coding Policy Update

For Medicare Advantage and commercial plans, the implementation date for the Emergency Department (ED) Professional Evaluation and Management (E/M) Coding Policy has been delayed until 2nd Quarter, 2021. The policy was focused on professional ED claims submitted with level 5 (99285) E/M code.

Initial communication about the policy was made:

Questions? Please contact your Network Representative or call Provider Services at 877-842-3210.