AMA CPT® Assistant - 1999 Issue 6 (June)

New vs. Established Patient (June 1999)

June 1999 pages 8-9 Coding Communication New vs. Established Patient Figure 1: (Clarified) Decision Tree for New vs. Established Patient It's time now for another installment of Back the Basics. This time we discuss how many of the categories of E/M services have subcategories for differentiating new and established patient services. It is very important to learn the definitions of these terms in order to appropriately report the codes within the E/M section. Review of the Definitions A new patient is one who has not received any professional services from the physician, or another physician of the same specialty...

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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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