AMA CPT® Assistant - 2004 Issue 10 (October)

Evaluation and Management Services (October 2004)

October 2004 page 16-end Coding Consultation:Questions and Answers Evaluation and Management (Q&A) Question When reporting an evaluation and management (E/M) service code, what is the determining factor between new and established patient? AMA Comment A new patient is one who has not received any professional services from the physician nor another physician of the same specialty who belongs to the same group practice within the past 3 years. An established patient is one who has received professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past...

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