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E/M: New or Established? Answer Wrong and It Could Cost You

Published in Dermatology Coding Alert, July 2010

Remember, what used to be a consultation is now likely a 99201-99215 service.
Dr. Derm provides a new patient with a standard office-visit E/M. You use an established patient E/M to code the encounter.No big deal, right?
Wrong: Not only is the coding incorrect, but this mistake will cost your practice deserved reimbursement. Further, Medicare’s deletion of consultation codes means that coders will have to answer the new vs. established question more often than before. For Medicare [...]


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Published in Dermatology Coding Alert, July 2010
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