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New Patient

According to the American Medical Association’s CPT® book, a new patient is a patient who “has never received professional services from the physician or another physician of the same specialty who belongs to the same group practice within the past three years. There is an excellent chart in the front section of the CPT® book to help differentiate between a new patient and an established patient.  If you have a question about whether the patient is new or established lo...

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Chief Complaint

The guidelines go on to read, "The medical record should clearly reflect the chief complaint." This leaves physicians to ask the question, does the chief complaint need to be listed separately from the history of the present illness or the rest of the rest of the history? The guidelines also say: !DG: The CC, ROS and PFSH may be listed as separate elements of history, or theymay be included in the description of the history of the present illness. That is, a physician or other healt...

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Past medical, family and social history

When an Evaluation and Management service requires past medical, family and social history, (or one or two of those) here is what needs to be documented, and the rules around using one that is previously documented. Past medical history includes the patient's chronic illnesses, previous illnesses, injuries and surgeries, medications and past treatment. Social history includes smoking, drug, and alcohol use, employment, and living situation. Family history includes a review of illness/health s...

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ICD-10 Session 4 - Signs, Symptoms, Exams
Nancy Maguire
Getting paid for coordinating care - what does the primary care provider need to do?
Narath Carlile MD MPH and Betsy Nicoletti
Medicare will cover 2 doses of pneumococcal vaccines, pneumococcal 23 and pneumococcal 13.
Betsy Nicoletti
ICD-10 Session 5 - Neoplasm Table, Table of Drugs and Chemicals, External Cause Codes
Nancy Maguire
ICD-10 Session 6 - Chapter One of the Tabular List
Nancy Maguire

Field Guide to Physician Coding 3rd


Medicare Wellness with E/M on same day
by EMMA2418
Thu, Mar/05/2015 09:27AM
do i need a J3301 to bill out with a 20610
by saranied
Thu, Mar/05/2015 08:50AM
Subsequent visits
by Flyers01
Thu, Mar/05/2015 07:20AM
re: ndc number
by youngblood
Wed, Mar/04/2015 04:21PM
Guideline for CPT® 90746 by CMS
by mehtap2015
Wed, Mar/04/2015 03:59PM
ndc number
by Annacate
Wed, Mar/04/2015 03:31PM

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