Advanced Search

EM Coding Alert

You Be the Coder:

Specialty Designation Matters in New vs. Established

Published on Fri Jun 26, 2015

Question:If a patient is referred to our practice for otitis media in 2014 from Dr. Smith and then is referred back to us in 2015 for tonsillitis by Dr. Jones. Is the patient new or established for the 2015 visit? Georgia Subscriber  Answer: The patient is established, and you should report an E/M code in the 99211-99215 (Office or other [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

EM Coding Alert

View All