AMA CPT® Assistant - 2012 Issue 3 (March)

Evaluation and Management, New vs Established Patient (March 2012)

March 2012 page 8 Evaluation and Management, New vs Established Patient The December 1998 issue (p 9) of the CPT Assistant provided information for distinguishing between "new" versus "established" patients when reporting evaluation and management services. This information has been updated in the CPT 2012 codebook's Evaluation and Management Services guidelines. THEN Question: Would it be appropriate to bill a patient as "new" if a physician changes practices and sees a patient that he or she had previously seen within the past 3 years while working for another medical group? The physician would not have access to the old...

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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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