Specialty Use of the New Evaluation and Management Codes (Summer 1992)

Summer 1992 page 23 Coding Tip Specialty Use of the New Evaluation and Management Codes How can each specialist use the new evaluation and management (E/M) codes effectively? By reading through these tips the individual physician will better understand the intended use of these codes. 1.    Analyze the types of patients/diseases you routinely treat. The services you typically provide sometimes fall at the low end of the codes, while others fall more at the high range. Others typically fall in the middle of this spectrum. 2.    Realize that at any given encounter, a patient with a specific disease/ condition...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short Coding Tip article is aimed at physicians, coders, and billing staff who need a general understanding of how the new evaluation and management code families were intended to be used across specialties. It discusses broad considerations such as patient mix, encounter-specific service levels, category selection, examination scope, examples, and supporting documentation without providing detailed coding decisions.

Why This Topic Matters

It helps readers assess whether the article applies to specialty-specific E/M coding practices and documentation review during the early CPT Assistant guidance era.

Article Sections

  1. Coding Tip

    A practical overview of how specialists can approach evaluation and management coding at a high level. The section focuses on general considerations for matching services, categories, and documentation to the encounter.

What You Will Learn

  • How the article frames specialty use of evaluation and management coding
  • What broad factors are highlighted when considering an encounter
  • Why documentation support is emphasized for code selection
  • How the article positions examples and typical service patterns

Who Should Read This

  • Physicians
  • Medical coders
  • Billing staff
  • Practice administrators

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