Reader Questions: Beware of Assigning E/M in This New Patient Encounter

Article Overview

This reader Q&A addresses coding considerations for a new pediatric patient encounter when the visit is for establishing care rather than evaluation of a problem. It helps pediatric, family medicine, and coding staff understand the general distinction between new patient E/M services and preventive medicine services, and why payer-supported medical necessity matters. The discussion is aimed at coders and practice staff who need to determine whether a visit should be billed, not billed, or considered under a preventive care framework.