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tci E/M Coding Alert - 2022 Issue Q1

Reader Questions: Answer Sticky Established Patient Question Via Taxonomy Code

Question: If a patient sees one surgeon in our practice, then one year later sees a different surgeon in the same practice, is this a new or established patient visit? Michigan Subscriber Answer: If the first and second surgeons practice with the same taxonomy code within the same practice, you should code the second visit with the second surgeon as an established patient E/M service. CPT® defines a new patient as “one who has not received any professional services from the physician/ qualified healthcare professional or another physician/qualified healthcare professional of the exact same specialty and subspecialty who...

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