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Orthopedic Coding Alert

You Be the Coder:

Making the New/Established Patient Decision

Question: What is the difference between a new and established patient when reporting evaluation and management (E/M) services? Wisconsin Subscriber Answer: You'll code for new patients with CPT® codes 99201 (Office or other outpatient visitfor the evaluation and management of a new patient, which requires these 3 key components: a problem focused history; a problem focused examination; straightforward medical decision [...]