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Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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E/M frequency data for infectious disease, pulmonary medicine and cardiology

CMS releases E/M frequency data annually.  A physician self-elects their specialty designation when enrolling with Medicare. Infectious disease, pulmonary medicine and cardiology are all specialties with active inpatient services, and of course, busy office services. That’s why I’ve elected to show them together.

The data below is from 2020, released in late 2021.

Office services

New OV Infectious Disease Pulmonary Cardiology
99201 0.41% 0.04% 0.11%
99202 2.17% 0.87% 1.31%
99203 23.84% 14.37% 14.60%
99204 52.56% 61.49% 65.44%
99205 21.01% 23.23% 18.54%

Levels 99203—99205 combined range from 98% for ID, to 99% for pulmonary medicine and 99% for cardiology.  But, ID bills a few more 99203 visits that either pulmonary or cardiology. Only a small fraction of new patient visits are billed as level one or two visits, which is understandable. This data is prior to 99201 being deleted from the CPT book.

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Relevant Search Terms: bell curves, infectious disease care coding, pulmonary coding, cardiology coding, frequency for hospital services, E/M frequency for new and established patient visits

Last revised January 29, 2022 - Betsy Nicoletti
Tags: E/M frequency data

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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