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new vs. established

  1. P

    Wiki New IPPE and E/M same patient/same day

    When reporting both a new patient preventive care visit (99385) and a medically necessary E/M service (e.g., 99204) on the same day for a patient, should both codes reflect 'new patient' status, or should the E/M code reflect an established level (99214) since 99385 already defined the patient...
    • Plaw4444
    • Thread
    • 9938* and 9920* same day both new and established both new or one established established patient established status new patient new status new vs. established preventive exams same day
    • Replies: 1
    • Forum: E/M
  2. L

    Wiki "New" patient debate

    I work for a behavioral health practice. We have a patient who has been with us in therapy for a couple of months. It's been determined that they need to seek medication management in addition to the therapy being provided. Our LPC has referred the patient to one of our Psych NP's for...
    • lethr77
    • Thread
    • med management mental health behavioral new vs. established therapy
    • Replies: 3
    • Forum: Behavioral Health
  3. J

    Wiki New vs established help

    I’m trying to understand the initial hops care vs subsequent hosp...if the initial care is only for the first visit by the admitting doc why is it that it says “per day” for 99221. I am not understanding something about this and can’t seem to find the answer in searching this forum. If this is...
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