AMA CPT® Assistant - 2004 Issue 10 (October)
Evaluation and Management Services (October 2004)
October 2004 page 16-end Coding Consultation:Questions and Answers Evaluation and Management (Q&A) Question When reporting an evaluation and management (E/M) service code, what is the determining factor between new and established patient? AMA Comment A new patient is one who has not received any professional services from the physician nor another physician of the same specialty who belongs to the same group practice within the past 3 years. An established patient is one who has received professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past...
Subscribe or sign in to view the full article.
Article Overview
This article is a brief AMA CPT Assistant question-and-answer piece focused on evaluation and management services. It addresses how patient status is distinguished for E/M reporting and discusses the general circumstances considered in that determination. It is intended for coders, billers, compliance staff, and clinical documentation teams who work with CPT-based E/M reporting.
Why This Topic Matters
Understanding the article helps readers identify whether they need CPT guidance on E/M patient classification and the associated reporting context.
Article Sections
-
Coding Consultation: Questions and Answers
An AMA Q&A discussion centered on evaluation and management reporting. The section presents a single coding question and the accompanying commentary.
What You Will Learn
- The article’s focus within CPT Assistant’s coding consultation format
- How the piece frames evaluation and management patient-status guidance
- The general reporting context addressed by the AMA commentary
- The type of scenario the article is intended to clarify for coders
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Clinical documentation specialists
- Physician office staff
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
