E/M MDM Level by Setting (2023, all places of service)

2023 E&M level by medical decision making: the level from the two-of-three highest of problems, data, and risk, mapped to the office/ED/inpatient code.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Setting of the encounter: Emergency department (99281-99285; MDM only)
Problems level: 4
Data level: 4
Risk level: 2

Result: ED, Moderate MDM (problems and data reach Moderate; risk is the limiting element) -> 99284.

The tool opens with these values already filled in. Replace them with your own.

What you enter

Setting of the encounter
Problems level (1 minimal to 4 high)
Data level (1 to 4)
Risk level (1 to 4)

How this is calculated

AMA CPT 2023 E/M Guidelines: the 2021 office 2-of-3 MDM grid (problems, data, risk) extended to inpatient/observation (99221-99233), ED (99281-99285), nursing facility (99304-99310), and home/residence (99341-99350). Confirm code selection against the current CPT code set. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.