AMA CPT® Assistant - 2008 Issue 11 (November)

Evaluation and Management/Office or Other Outpatient Services (November 2008)

November 2008 page 10d Evaluation and Management/Office or Other Outpatient Services Question: Can new physicians who come on board to a group practice with their own tax identification numbers charge a new evaluation and management code for patients they see? Answer: According to CPT guidelines, a new patient is one who has received no professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years. Also, if a physician is new to this group practice and had never seen or billed a patient previously though his...

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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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