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Pediatric Coding:

Practitioner Determines New or Established, Not Location

Published on Fri Oct 03, 2025

Question: If our pediatrician discharged a newborn from the hospital and then sees the same baby 12 days later at our practice for their first preventive medicine service, would the baby be classified as a new patient or an established one? Wisconsin Subscriber Answer: This baby would be considered an established patient because they have already received professional, face-to-face services from [...]
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