Part B Insider - 2012 Issue 1
CPT® 2012: Use Latest E/M Tweaks to Establish New Patient Status
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Article Overview
This article discusses a CPT® 2012 revision affecting how practices determine new patient status when physicians in the same group have different specialties or subspecialties. It is aimed at coding and billing professionals who need to understand the updated framework for office and other E/M reporting and how the change may affect claim selection in multi-physician practices.
Why This Topic Matters
The clarification can change whether a visit is reported as new or established in group practices with multiple specialties or subspecialties, which can affect coding accuracy and billing outcomes.
Article Sections
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Subspecialty Rules the Day
This section explains the CPT® 2012 update to the new patient definition and its relevance to physicians with different specialties or subspecialties in the same group practice.
What You Will Learn
- How CPT® 2012 refines the concept of a new patient
- Why specialty and subspecialty distinctions matter in group practices
- How the clarification affects office and other evaluation and management reporting at a high level
- What kinds of practice situations may be impacted by the updated definition
Who Should Read This
- Medical coders
- Billing specialists
- Practice managers
- Physician offices
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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