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tci General Surgery Coding Alert - 2022 Issue Q1

Reader Questions: Do This to Distinguish ‘New Patient’ E/M

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? Codify Subscriber Answer: As long as 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...

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