Physician A has moved to a new practice and many of her patients have followed her. She is now part of a large group practice made up of general pediatricians and several pediatric specialists. When former patients are seen by Dr A in her new office, will Dr A report the office/outpatient evaluation and management (E/M) new patient codes (99201–99205) or established patient codes (99211–99215)? If a former patient of Dr A's sees another physician (Dr B) in the practice, will Dr B report a new or established patient E/M service?

Current Procedural Terminology (CPT®) is very explicit in its definition of new and established patients.

New patient: One who has not received any professional services (ie, face-to-face services rendered by a physician and reported by a specific CPT code[s]) from the physician or another physician of the same specialty who belongs to the...

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