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established patient

  1. P

    Wiki New IPPE and E/M same patient/same day

    When reporting both a new patient preventive care visit (99385) and a medically necessary E/M service (e.g., 99204) on the same day for a patient, should both codes reflect 'new patient' status, or should the E/M code reflect an established level (99214) since 99385 already defined the patient...
    • Plaw4444
    • Thread
    • 9938* and 9920* same day both new and established both new or one established established patient established status new patient new status new vs. established preventive exams same day
    • Replies: 1
    • Forum: E/M
  2. J

    Wiki E/M with Life Counseling MDM level?

    I have a provider who is wanting to bill out a level 5 established on a PT stating that "Total time spent 75 min extended stay, with greater than 50% of the time spent counseling and ADHD anxiety and career planning and life coaching." It's documented on what was discussed but if I were to look...
    • jeburke23
    • Thread
    • counseling established patient high mdm
    • Replies: 0
    • Forum: E/M
  3. L

    Wiki Interprofessional Consults

    Hello, I have been going back and forth on this one question a provider asked. I hope someone can help. If a provider does an Interprofessional consult on a patient and 4 months down the road, the patient schedules an apt. to see that specialist, is that patient considered a new or established...
  4. KStaten

    Wiki Who Has Documentation Permissions per Medicare Guidelines?

    Hello Everyone! :) I am trying to put a table together to describe components of a medical document for a typical outpatient setting office visit and list who (per Medicare guidelines) has permission to document each one. In other words, in order to correctly bill under the physician, what...
    • KStaten
    • Thread
    • ancillary staff documentation e/m documentation established patient hpi incident to billing medical record medicare guidelines new patient phycisian's assistant
    • Replies: 6
    • Forum: Medicare Regulations
  5. JessWoods27

    Wiki Performing a procedure or diagnostic test prior to New Patient Visit?

    Hello! This may have been answered somewhere but I couldn't find anything using the search. I am wondering what the best way to go about coding new patient visits when the provider has previously performed a procedure/diagnostic testing. We often get patients who schedule hysterosalpingogram or...
    • JessWoods27
    • Thread
    • established patient new patient e/m coding
    • Replies: 4
    • Forum: E/M
  6. A

    Wiki established patient visits- can physician transcribe note prior to visit????

    I work for a billing company, and with one of our newer clients some physicians are transcribing the office note the day prior to the visit and then signing it after the visit. Is this acceptable?
    • angiehansen29
    • Thread
    • e/m documentation established patient
    • Replies: 2
    • Forum: E/M
  7. K

    Wiki E/M with a 25 when doing an injection?

    Hello, I am fairly new to orthopedic coding and our docs do a lot of injections! I am struggling with when it is okay to bill an office visit with the 25 modifier. The guidelines that I was told to go by was that we always bill a new patient (99202-99204) with the 25 when an injection is...
    • Katie_Ellis
    • Thread
    • 25 modifier bill established patient injection office visit
    • Replies: 2
    • Forum: E/M
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