Documentation Guidelines, New Patient Definition (Q&A) (January 1998)
January 1998 page 11
Coding Consultation
Documentation Guidelines, New Patient Definition (Q&A)
CPT describes a new patient as one who has never been seen by a physician or another physician within the same specialty in a group practice. What about a subspecialty?
AMA Comment
If the subspecialty is part of the same group, then the patient is not considered a new patient, (see New and Established Patient definition, page 1, of CPT E/M Guidelines).
Documentation Guidelines, New Patient Definition (Q&A). CPT® Assistant. 1998; January 1998 page 11
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