A problem becomes established after the provider has seen the patient for it.
So in your case, the first outpatient visit it would be new, when they admit the problem is established worsening.
Same thing on your inpatient scenario, first visit new, every visit after that it is either established stable or worsening.
Now on the flip side, say this same patient gets better goes home and later on gets another infection and comes back to your provider. Even though he treated an infection before, this would now be a new problem.
Hope this helps,
Laura, CPC, CEMC
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