AMA CPT® Assistant - 1998 Issue 1 (January)

Documentation Guidelines, New Patient Definition (Q&A) (January 1998)

January 1998 page 11 Coding Consultation Documentation Guidelines, New Patient Definition (Q&A) CPT describes a new patient as one who has never been seen by a physician or another physician within the same specialty in a group practice. What about a subspecialty? AMA Comment If the subspecialty is part of the same group, then the patient is not considered a new patient, (see New and Established Patient definition, page 1, of CPT E/M Guidelines). Documentation Guidelines, New Patient Definition (Q&A). CPT® Assistant. 1998; January 1998 page 11 ...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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