tci General Surgery Coding Alert - 2010 Issue 6

Reader Questions: Clarify 'New' Versus 'Established' Patient

Question: Our practice performed a test on a patient who was referred to us by another doctor. Our surgeon was not present for procedure; a technician administered the test. Should I consider this patient an established patient? Mississippi SubscriberAnswer: No, you should consider the patient "new" until a face-to-face encounter with your surgeon occurs. If the primary physician (or another physician billing under the same group number) provided a non-face-to-face service for a patient and then provided a face-to-face service within three years, you should still consider the patient to be "new" when selecting an E/M service code for...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.

Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 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 General Surgery Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!