Results 1 to 2 of 2

"New" Problem points for problem seen before

  1. #1
    Default "New" Problem points for problem seen before
    Medical Coding Books
    If a patient hasn't been seen in 3 years, the patient is considered "new" for E/M coding. If the patient's problem isn't new to the provider though, is it considered an established problem or a new problem again? For example, a patient was seen 4 yrs ago for epilepsy. The seizures are now more frequent and require a change of meds, for which the neurologist is referring the patient out to an epileptologist for management. Would this be 2pts (est. prob worsening), 3 pts (new problem no w/u) or 4 pts (new problem with w/u for the referral) for the neurologist?
    Thanks,
    Sue
    Sue Vermette, CPC, CPMA

  2. #2
    Default
    If the patient has not been seen for 4 years, they would be a new patient again.
    So it should be new problem w/work up.
    Kelly A Mcfadyen, CPC

Similar Threads

  1. Points for "obtaining history"
    By mhstrauss in forum E/M
    Replies: 4
    Last Post: 12-05-2013, 02:21 PM
  2. What constitutes "new problem with further work-up" for ED coding?
    By Cathy Batten in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-10-2013, 08:35 PM
  3. E/M MDM New problem "additional work up Planned"
    By smagliocchetti in forum Medical Coding General Discussion
    Replies: 8
    Last Post: 08-06-2013, 12:45 PM
  4. E/M "NEW problem" on auditing forms
    By lisabateman in forum E/M
    Replies: 7
    Last Post: 03-09-2010, 09:17 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.