When you do outpatient facility coding you must get use to the idea that the E&M codes really do not mean the same thing as they do to the physician. Since the new and est patient codes all correlate the same in the facility (ie level 1 is a 1 whether it is new or est and has exactly the same APC value), most facilities inputed only the estb patient codes into their chargemaster. Therefore you need to chech with your supervisors as to whether they want to capture new vs established or default to the estb codes everytime.
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