Does a patient have to have been seen by a provider in order to qualify for a 99202 ? ...
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Article Overview
This short Find-A-Code article explains a CPT coding question involving new patient office and other outpatient evaluation and management services. It is aimed at coders, billers, and practice staff who need to understand the general criteria discussed for determining whether the service category applies. The article focuses on the CPT 2021 framework and the broad documentation and time-based concepts referenced in the question.
Why This Topic Matters
Understanding the scope of a new patient office visit code affects correct E/M code assignment and helps reduce coding errors when reviewing encounter history and service timing.
What You Will Learn
- How the article frames the question of prior provider contact for a new patient office visit code.
- What general CPT 2021 concepts are referenced for office/outpatient E/M services.
- How documentation and time are discussed at a high level in relation to code selection.
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Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Physician practices
Codes Discussed
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