AMA CPT® Assistant - 1998 Issue 12 (December)

Evaluation and Management, New vs. Established Patient (Q&A) (December 1998)

December 1998 page 9 Coding Consultation Evaluation and Management, New vs. Established Patient (Q&A) Question Would it be appropriate to bill a patient as "New" if a physician changes practices and sees a patient that he/she had previously seen within the past three years while working for another medical group? The physician would not have access to the old medical records unless he/she requested them form the previous medical group. AMA Comment The determining factor in assigning and evaluation and management code for New vs. Established patient is whether the patient received professional services from the physician within...

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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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