tci ED Coding & Reimbursement Alert - 2006 Issue 12

CPT 2007 ~ Check This Flow Chart Before Deciding on Patient Status

CPT 2007 manual includes tool for deciding on new, established patients When an ED physician has cause to use new and established patient evaluation and management (E/M) codes, coders have to be ready to discern new patients from established ones. Proper coding for various E/M services (such as outpatient visits and rest home services) rests on determining whether a patient is -new- or -established,- as defined by AMA guidelines. Do you use these codes? While the standard ED coder likely won't have to use the new (99201-99205) or established (99211-99215) patient codes, ED facilities and physicians that practice...

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