New vs Established Patient, Decision Tree Explanation (August 2009)
August 2009 page 5
Evaluation and Management:New vs Established Patient, Decision Tree Explanation
The Evaluation and Management (E/M) Decision Tree, first printed in the
1999 CPT Assistant and then printed in the 2007 CPT codebook, was revised in 2008
to assist in determining whether to report an E/M service provided as a new or
established patient encounter. This article provides clarification regarding how the
Decision Tree should be interpreted when E/M codes are reported by the physician, and
when appropriate, by the qualified health care professional to describe the services he
or she provides to the patient regardless of...
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