Outpatient Facility Coding Alert - 2011 Issue 42
CPT® 2012: Establish Whether A Patient is New With CPT®'s Latest E/M Tweaks
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Article Overview
This premium article explains selected CPT 2012 updates that affect E/M coding and thoracic surgery reporting. It is aimed at coders, billers, and reimbursement professionals who need to understand how the annual CPT changes may affect patient classification, specialty/subspecialty distinctions, and newly added thoracoscopy procedures. The article also summarizes related commentary about global periods and hospital-related E/M reporting considerations.
Why This Topic Matters
These CPT updates can affect how encounters are classified and how thoracoscopic procedures are reported, making it important for accurate claims processing, specialty-specific billing, and compliance with current coding guidance.
Article Sections
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New and Established Patient clarification
Discusses a CPT 2012 revision to the new versus established patient framework and its relevance to physician and group practice specialty distinctions. The section provides context for how the updated guidance affects office and outpatient E/M reporting.
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CMS Offers Surprise 0-Day Global to New Thoracoscopy Codes
Introduces newly added thoracoscopy-related procedures in the CPT 2012 changes and notes related global period commentary. The section also addresses the article’s cardiothoracic surgery context and broader postoperative reporting implications.
What You Will Learn
- How CPT 2012 updated the definition of a new patient in relation to physician specialty and subspecialty
- Why group practice specialty distinctions matter for E/M reporting
- What types of thoracoscopy changes were introduced in CPT 2012
- How the article frames global period commentary for newly added thoracoscopic procedures
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance professionals
- Physicians and physician groups
Codes Discussed
Code Ranges Discussed
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