Watch out when billing E/M, procedure together on new patient codes

Article Overview

This premium article reviews denial patterns affecting new patient office evaluation and management claims when a procedure or service is billed on the same day. It is aimed at coders, billers, and clinicians who work with Medicare Part B and office visit claims, and it focuses on why claims may be denied, how denial rates vary by specialty, and the broader compliance issues involved in distinguishing new versus established patients. The discussion is framed around new patient office visit coding, same-day E/M and procedure billing, and modifier use in the context of payer review.