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Everything a DC Needs to Know about Evaluation and Management Codes

By Evan Gwilliam, DC, MBA, QCC, CPC, CCPC, CPMA, CPCO, AAPC Fellow · March 12, 202515 min read
Doctor reviewing codes with staff member
Everything a DC Needs to Know about Evaluation and Management Codes
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[Editor's Note: For an additional breakdown of Evaluation and Management (E/M) coding and its application in chiropractic practice, be sure to check out the on-demand webinar, Everything Chiropractic Physicians Need to Know About Evaluation & Management (E/M) Coding. This one-hour webinar provides valuable additional insights into proper documentation, coding selection, and compliance strategies to ensure accurate reimbursement. Access the webinar here: Everything Chiropractic Physicians Need to Know About E/M Coding.]

Evaluation and Management (E/M) procedure codes are the most widely used CPT codes in all of healthcare in the United States.  There are several categories of codes for different circumstances, from hospital care, to nursing facilities, telemedicine, and even home-based evaluations.  However, the most common in a chiropractic setting would be the codes categorized as “Office or Other Outpatient Services” (99202-99215).  Understanding the rules around E/M codes is key to ensuring effective and defensible documentation, along with proper payment. 

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About the Author

Dr. Gwilliam, Senior Vice President of Practisync, brings a wealth of expertise to the healthcare industry. Graduating as Valedictorian from Palmer College of Chiropractic, Dr. Gwilliam holds credentials as a Certified Professional Coder, Medical Auditor, and Compliance Officer. With a unique background combining clinical experience with a Bachelor’s degree in accounting and a Master’s of Business Administration, he is widely recognized as a leading authority in his field. Dr. Gwilliam's expertise extends beyond his executive role, as he is also a sought-after seminar speaker. He shares his insights on topics ranging from healthcare compliance to documentation and coding at prominent industry events. Additionally, Dr. Gwilliam provides expert witness testimony, conducts medical record audits, and offers tailored consulting services to healthcare providers seeking to enhance their practices. He has contributed to reference books and articles for multiple publications, cementing his status as a thought leader in the healthcare community. Learn more about Practisync here: https://practisync.com/

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