DecisionHealth, DecisionHealth - 2012 Issue 11 (November)

Benchmark of the Week: E/M code selection, primary care vs. specialists

These charts examine E/M code level selection for new and established visits (99201-99215) from 2010 to 2011, comparing primary care and specialists. Note: The “primary care” specialty shown here uses combined data from family practice, general practice and internal medicine. The “specialists” category represents combined data for 11 specialties that bill the most E/Ms to Medicare: cardiology, dermatology, gastroenterology, hematology and oncology, nephrology, neurology, ophthalmology, orthopedic surgery, pulmonary disease, rheumatology and urology. Note: The percentages above the bars indicate the change in that code level’s share of total E/M utilization for new or established versions of that level from 2010 to 2011.

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