tci E/M Coding Alert - 2013 Issue 1

Clip and Save: Follow this 5-Question Path to Find Out if the Patient is Really New

This tool will help you navigate the sometimes tricky new vs. established question. As noted in “Pay Attention to 3-Year Rule to Decide Between New vs. Established Codes” on page 3 of this issue, before you can determine which code to report for a patient’s office visit, you need to first determine if he qualifies as a new or established patient. By asking five questions, you can quickly uncover the correct answer every time. Keep this tool handy and refer to it as you decide between 99211-99215 (Office or other outpatient visit for the evaluation and management...

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