Decision Tree for New vs. Established Patients (September 1999)

September 1999 page 11-end Coding Consultation New vs. Established Patient, Decision Tree Clarification This diagram originally appeared in the June 1999 issue of the CPT Assistant. To further clarify the the issue of New vs. Established patients, we have added the phrase "within the past 3 years" to the chart, and identified it in underlined print. Corrected Decision Tree for New vs. Established Patients New vs. Established Patient, Decision Tree Clarification. CPT® Assistant. 1999; September 1999 page 11-end ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short CPT Assistant item addresses a clarification to a decision tree used in patient status determination and notes a wording correction tied to the CPT Assistant publication. It is relevant to coders and billing staff who work with evaluation and management documentation concepts and want to understand what this correction affects at a high level.

Why This Topic Matters

Patient-status distinctions are foundational in evaluation and management coding workflows, so even a small published clarification can matter for accurate review and documentation alignment. This article helps readers identify that a correction was issued and understand the general scope of the update without relying on the premium content.

Article Sections

  1. Coding Consultation

    A short coding consultation notice introducing the clarification and its context within CPT Assistant.

What You Will Learn

  • What the article is about at a high level
  • That the item is a clarification rather than a full feature article
  • How the publication frames a correction to patient-status guidance
  • Why the update may matter for evaluation and management review

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle professionals
  • Compliance staff

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