What is the status of a patient visiting a specialist for the first time?

The status of a patient visiting a specialist for the first time is classified as a new patient. This designation is important because it typically indicates that the provider has not previously seen the patient or established a treatment relationship with them.

In the context of medical coding and billing, new patients often have different codes and billing practices associated with their visits compared to established patients. For instance, when a new patient visits a specialist, the physician must conduct a thorough evaluation, which is typically reflected in the time and resources spent during the visit.

This definition aligns with common medical coding guidelines, which specify that a new patient is one who has not received any professional services from the provider, or the provider's practice, in the past three years. Hence, a patient visiting a specialist for the first time qualifies as a new patient, making this classification essential for proper coding, billing, and reimbursement processes.