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Wiki Established Problem vs New Problem

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PVAzCPC

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Pt being seen for the first time by new psychiatrist, who took over for doc who retired in Oct. I understand the NP vs Est Pt; this would be established patient to practice;

However, when calculating Problem Points for MDM, are the patient's problems considered to be "Established problem (to examining physician)" or "New problem (to examining physician)" ?

Any and all opinions are appreciated, thank you very much! :)
 
You are describing a new problem to the examiner, so yes it would be a 3 or 4 point diagnosis for the initial encounter (even though you would be selecting an established patient code.) After that, the problems are established to the examiner.
 
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