Patients who get a COVID-19 test, and nothing more, stay ‘new’ for next visit

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This short coding article addresses patient status for evaluation and management billing in the context of COVID-19 testing workflows. It focuses on the distinction between testing-only encounters and encounters that involve professional services, helping coders and billing staff understand how those circumstances affect whether a later visit may be treated as new or established. The discussion is aimed at clinic administrators, coders, billers, and coding educators working with office-based testing and follow-up visits.

Why This Topic Matters

Determining patient status correctly is important for accurate E/M reporting and consistent billing practices when testing encounters are followed by result visits or provider evaluation.

What You Will Learn

  • How patient status is determined for E/M billing purposes
  • How testing-only encounters differ from professional services
  • Why follow-up visits after testing can affect patient classification
  • How COVID-19 testing workflows intersect with billing status questions

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Compliance staff
  • Coding educators

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