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Thread: Documenting "New Patient"

  1. #1
    Join Date
    Apr 2007
    Grand Canyon Coders

    Default Documenting "New Patient"

    AAPC: Back to School
    I realize it would be 'best practice' to document new patient in the encounter notes, however does anyone have a source where it is written it is mandatory to document 'new patient?'

    Thanks - Schawn

  2. #2
    Join Date
    Apr 2007


    I haven't seen anything anywhere saying that "new patient" has to be documented.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  3. #3
    Join Date
    Apr 2007
    Boston, MA


    I am not aware of any requirement to actually write the words "new patient" in your documentation. The fact remains that the patient has to meet the requirements for a new patient in order to bill one of the new patient codes.

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