Honestly, at this time I do not believe there are many specialty coding courses for the specialty credentials. What we have to do is take all of the webinars for that specialty, buy the study guide for that specialty in your case ortho buy the COSC study guide. Between all of the webinars that come out usually they cover most aspects of different specialties from ICD-10-CM, anatomy and pathophysiology for that specialty and the different CPT procedural webinars for that specialty, E/M as well. I can tell you off of my own expereience and what I learned in the E/M auditing course, typically Orthopedic Specialists utilize 1997 Dcoumentation guidelines due to the different anatomical regions of the MS inj which they may examine less areas but render a much more detailed thorough exam of multiple bones, joints etc thus leading to a higher level depending on bullet points for exam.