tci E/M Coding Alert - 2015 Issue 7

You Be the Coder: Specialty Designation Matters in New vs. Established

Question:If a patient is referred to our practice for otitis media in 2014 from Dr. Smith and then is referred back to us in 2015 for tonsillitis by Dr. Jones. Is the patient new or established for the 2015 visit? Georgia Subscriber  Answer: The patient is established, and you should report an E/M code in the 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient ...) range for the 2015 encounter.  Here’s why: The chief factor in determining whether a patient is new or established is time. You must decide whether...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.