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EM Coding Alert

E/M Coding:

Determine New vs. Established Patient for E/M Coding

Published on Wed Sep 24, 2025

Question: Our providers sometimes request that we bill a new patient evaluation and management (E/M) code (99202-99205) when seeing a patient who hasn’t been to our office in a few years, or when the visit occurs at a different clinic location. In other situations, they consider the patient “new” because it’s the first time they’re treating them for a different [...]
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