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Wiki new pt vs est pt

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brocal1979

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We have a brand new PCP joining our practice. We are a Pain Management office. My question is, can the PCP bill an established patient in the office as a new patient even though they have seen a pain management doctor in the office?
 
No, once they've joined the practice and see an already established patient, they are established to a new provider. There is nice decision tree on page 6 of the AMA CPT for 2026. It's very helpful.
 
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