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Emergency Department (ED) Evaluation and Management codes are typically reported per day and do not differentiate between new or established patients. There are 5 levels of emergency department services represented by CPT codes 99281 – 99285. The ED codes require all three key components history, examination and medical decision-making to be met and documented for the level of service selected. When billing these professional codes, you will need a best medical billing companies that will review your professional or facility claims for accuracy.