tci General Surgery Coding Alert - 2004 Issue 11

Reader Questions: New Medical Record Doesn't Mean New Patient

Question: When a patient presents to the office for the first time after one of our surgeons discharges her from the hospital, can we report a new patient code if a different physician in our group sees her? CPT says a new patient is one we have not seen in the past three years, but I have also heard that a new patient is one who requires a medical record to be established.Arkansas Subscriber Answer: CPT is very clear on this matter: "A new patient (99201-99205) is one who has not received any professional services from the physician...

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