AHA Coding Clinic® for HCPCS - 2007 Issue 4

Update on hospital clinic and emergency department visit coding

This article was developed to provide a summary of the highlights related to the coding of hospital clinic and emergency department visits, as published in the CY 2008 Outpatient Prospective Payment System (OPPS) final rule, that was published in the Federal Register on November 27, 2007. Clinic visit coding Hospitals are to continue using CPT evaluation and management (E/M) outpatient visit codes, including the differentiation between new and established patients. For hospital reporting, the distinction between “new” and “established” patients is whether the patient already has a hospital medical record number created within the past 3 years...

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