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NEW OFFICE PATIENTS
 

 
New Office Patients (99201-99205)

These codes are used to bill for new patients being seen in the office.   A new patient is defined as someone who has never been seen by you or a physician in the same specialty in your group OR who has not been seen by you or a physician in the same specialty in your group for at least three years.  There are five levels of care for this type of encounter which all require the documentation of three out of three key components. Most likely you are over-utilizing level 3 visits and uder-utiilzing level 5 visits. Take the web-course below to see why.
Level E/M Code History Physical Exam MDM Time
1 99201 Problem Focused Problem Focused Straightforward 10
2 99202 EPF EPF Straightforward 20
3 99203 Detailed Detailed Low 30
4 99204 Comprehensive Comprehensive Moderate 45
5 99205 Comprehensive Comprehensive High 60

All three key components is required for any given level of care

This topic is covered in more detail in of one of our web-based E/M coding courses.

New Office Patients

New Office Patients
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Basic Course Preview
 
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Now that the consult codes have been eliminated for Medicare patients, the new office patient visit has become the most common outpatient initial encounter. Learn exactly what needs to be documented for each level of care for these visits. All levels of care are discussed.  
  For mutliple users, consider an E/M Comliance Web Portal.

 

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Click to return to E/M University Home page, EM Coding Education