Benchmark of the Week: E/M usage by specialty and visit type, 2009

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

Article Overview

This article reviews E/M billing patterns for selected specialties and compares new patient versus established patient visit utilization in 2009. It is useful for coders, practice managers, and compliance staff who want a high-level benchmark for specialty-specific E/M distribution and visit-type mix. The piece presents summary guidance and comparative context for understanding how utilization differs across dermatology, family practice, orthopedic surgery, and podiatry.

Why This Topic Matters

Understanding specialty-level E/M utilization helps practices compare their billing mix against broader benchmarks and identify whether their visit-type patterns are typical or unusual. This is relevant for coding review, internal auditing, and operational analysis.

Article Sections

  1. Summary

    Overview of the benchmark comparison and the specialties included in the analysis. Introduces the broad visit-type and utilization context used throughout the article.

  2. Breakdown

    Comparative discussion of utilization patterns across the featured specialties. Focuses on how the distribution of E/M levels varies by specialty and visit type.

  3. Takeaways

    High-level observations about the relative use of E/M visit levels and how the specialty patterns compare. Summarizes the general relevance of the benchmark findings.

What You Will Learn

  • How specialty-specific E/M utilization patterns are compared in a benchmark format
  • How new patient and established patient visit mixes are discussed at a high level
  • Which specialties are included in the comparative E/M analysis
  • How overall visit-level distribution trends are summarized for 2009

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Compliance auditors
  • Revenue cycle professionals

Codes Discussed


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