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Billing Guidelines and Reimbursement Tips for New Patient Visits To bill correctly using New Patient Visit CPT Codes, it's important to follow key steps that align with payer expectations and coding regulations: Verify Patient Status: Use the 3-year rule to confirm the patient is truly new to the practice
Best practice is to use modifier 25 only when the documentation clearly supports a separate E/M service
doi: 10.1136/bmjopen-2014-006964
Also, ask about the right timing and dosage
