E/M Code Calculator for Excel, Google Sheets MDM Tool (2026 Rates)

STOP CALCULATING E/M MDM BY HAND

Enter the encounter details and this live workbook evaluates Problems, Data, and Risk, applies the two-of-three MDM rule, and determines the E/M code supported by your inputs using MDM or time.

This is an auto-calculating Excel and Google Sheets tool—not a static PDF. It shows how the result was reached, making complicated E/M leveling faster, clearer, and more consistent.

WHAT YOU CAN CODE

- New and established office visits - New and established home services - Initial and subsequent hospital care - Same-day admission and discharge - Emergency department visits - Outpatient and inpatient consultations - Initial and subsequent nursing-facility care

WHAT THE CALCULATOR RETURNS

- E/M code supported by the information entered - MDM-based or time-based determination - Overall MDM level - Individual Problems, Data, and Risk levels - 2026 national Medicare non-facility reference amount - 2024 Part B utilization benchmark for internists - Plain-language explanation of the determination

WHO IT’S FOR

- Medical coders and billers - Physicians and advanced practice providers - CPC exam candidates and coding students - Coding educators and auditors

WHAT’S INCLUDED

- E/M Code Calculator for Excel - Google Sheets-ready workbook - Complete PDF user guide - Worked clinical examples - Google Sheets setup instructions - Reimbursement reference

INSTANT DOWNLOAD

Your files are available from Etsy Purchases immediately after checkout. Instructions for importing the workbook into Google Sheets are included.

UPDATES

When a revised version is released, previous Etsy buyers can download the latest available files again from their Purchases page.

IMPORTANT

This calculator is an educational workflow-support tool—not coding, billing, legal, compliance, or medical advice. Results depend on the information entered and do not replace professional coding judgment.

Before submitting a claim, verify the result against current AMA/CPT guidance, CMS and payer policies, supporting documentation, modifiers, and applicable locality-specific fee schedules. Medicare amounts are reference figures; actual payment varies.

CPT® is a registered trademark of the American Medical Association. This independent product is not affiliated with, endorsed by, or certified by the AMA, CMS, or Etsy.