Physicians should be free to choose the mode of communication and service delivery that best meets the unique needs of their patients. The American Academy of Family Physicians (AAFP) believes that physicians should receive payment for services that are reasonable, necessary, safe, effective and medically appropriate, according to accepted standards of medical practice. The AAFP supports payment for electronic communication and evaluation that physicians provide for the medical management of their established patients as a separate service unrelated to an evaluation and management service. (2004) (October 2025 COD)