New vs. est. patient

Why This Topic Matters

Patient status affects E/M code selection and reimbursement, so understanding how prior diagnostic services and subsequent visits are classified can change claim accuracy and payment.

Article Sections

1. New vs. established patient status after prior diagnostic interpretation

   Explains the coding question raised by prior non-face-to-face professional services and how updated Medicare and CPT language addresses patient classification. Focuses on cardiology diagnostic interpretations and follow-up office visits.

2. Medicare and CPT updates on professional services

   Summarizes the administrative and CPT guidance discussed in the article, including the emphasis on face-to-face professional services and the timing framework referenced in the text.

3. Consultation considerations and documentation

   Discusses the separate possibility that the encounter may be coded as a consultation or related consult type, along with documentation expectations mentioned in the article.