Wiki New Problem vs Est. Problem

[scronkhite]

I know the rules that clarify a new patient vs a established patient but, if you have a new patient that carries a diagnosis of HTN or DM and the physician is seeing them for the first time as a new patient are the established problems that the patient has previously been diagnosed with considerd new problems to the new physian that they are now seeing?

 

[dballard2004]

Yes. That portion of the MDM is provider driven, not patient driven. These are new problems to the examining provider, so you would either assign 3 points or 4 points depending if any additional workup was done.

 

[RebeccaWoodward*]

Although I personally agree with Dawson, some carriers do not allow credit for this. I would encourage you to check with your carrier(s).