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Pulmonology Coding Alert

Pulmonology Coding:

Are Patients New or Established When a Provider Changes Practices?

Published on Thu Apr 10, 2025

Question: I code for a pulmonologist who recently made the move from a private clinic to large health system. They joined the health system as a pulmonary outpatient provider. When their previously established patients present to the office for an appointment, will the encounters be billed as new or established evaluation and management (E/M) visits? New Hampshire Subscriber Answer: You [...]
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