A New Patient is one that has not been seen by your provider in the past 3 years.
An Established Patient is one that has been seen within 3 years.
If a patient is coming in because their PCP said they needed an eye exam, then your practice needs to ask "have they been seen within 3 years" to know if they are new or established.
Once you've established "New" vs. "Established" status, go over the definitions for what qualifies an "Intermediate" and "Comprehensive" visit beginning on page 461 of CPT 2011. Read that to know the differences and then review the documentation. What was done on this patient?
Hope this helps!
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