E/M Coder vs MDM Calc

Find the right E/M code for your outpatient visit. A straightforward tool to determine your visit level based on your medical decision-making or time.  Based on the AMA CPT® Evaluation and Management Office or Other Outpatient and Prolonged Services Code and Guideline Changes and updated with CMS 2021 PFS Final Rule.  (This app provides suggested codes. Final code selection remains the responsibility of the individual physician or other qualified health care professional.)

MDM Calc: E/M Optimizer helps clinicians choose and support the right evaluation and management level with fast, clear coding decision support. Built for Primary Care, Specialty, and OB/GYN workflows, MDM Calc guides you through the clinical work documented in the encounter—Problems, Data, and Risk—and applies the appropriate logic to explain how a result was reached. Whether you are reviewing an office visit, consultation, preventive encounter, or maternity service, MDM Calc gives you a focused, repeatable workflow for everyday coding support. WHAT MDM CALC DOES • Calculate E/M levels using medical decision making or total time when applicable • Support new patient, established patient, office, outpatient, and consult workflows • Use OB/GYN maternity flows for antepartum care, initial and subsequent labor management, delivery, and postpartum care • Account for maternity setting, delivery type, labor complexity, multiple gestation, and additional delivery services in supported scenarios • Support preventive medicine visits, Annual Wellness Visits (AWV), and Initial Preventive Physical Exams (IPPE) • Support Advanced Primary Care Management (APCM) workflows with level guidance based on documented criteria • Review CPT outcomes and see the reasoning behind the suggested result • See “Why Not Higher?” opportunities and practical, component-specific paths to improve documentation (Pro) • Review modifiers, add-on services, billing warnings, and payer-related considerations in supported scenarios (Pro) BUILT FOR REAL CLINICAL WORKFLOWS • Choose a practice profile for Primary Care or Specialty workflows • Set a default visit type and adjust preferences anytime • Move through a focused step-by-step calculator designed for quick review • Save and revisit recent calculations with visit history • Use reference tools for teaching, audit preparation, and day-to-day coding review • No account required PRIVACY-RESPECTING BY DESIGN MDM Calc does not require patient names or identifiers. It is designed to provide fast, local workflow support while keeping the focus on the documented encounter. FREE TRIAL + ONE-TIME PRO UNLOCK MDM Calc includes a 30-day free trial of Pro features from first open. After the trial, unlock Pro with a one-time purchase—no subscription—to keep advanced optimization, billing guidance, and maternity features available. IMPORTANT MDM Calc is a clinical coding decision-support tool for licensed medical professionals. It is not a substitute for professional judgment, official coding guidance, payer-specific policies, institutional policies, or complete documentation review. Always validate final coding decisions against current rules and the documentation for the actual encounter.