How many key components must be considered when coding for new patients?

When coding for new patients, two key components must be taken into account: the medical history and the examination. These components are essential for establishing a baseline understanding of the patient's health and the initial assessment by the healthcare provider. The medical history provides insight into the patient’s past health issues, current medications, and any allergies, while the examination involves a thorough physical evaluation to assess the patient's present condition. Together, they enable healthcare providers to create accurate and comprehensive documentation which is critical for proper coding and billing. Understanding and integrating both components ensures that the coding reflects the true scope of care provided to a new patient, thereby supporting appropriate reimbursement and enhancing continuity of care.