• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

2 new E/M visits

T

TMHales

Contributor
Messages
10
Location
Chattanooga, TN
If we see a new patient for a workers compensation injury and on the same day see the patient for a completely different problem that has nothing to do with work comp and do a separate note, can we bill 2 new patient codes? One to work comp and the other to his private insurance?
 
No you can't. The first visit would get the new patient code and the second would be an established patient visit, but it would be for a "new" problem. Per CPT to assign a new patient E/M the patient can not have been seen by any provider in the same practice within the past 3 years, after that initial visit the patient is considered established regardless of which carrier is billed. But a word of warning, if an auditor sees a new and established visit on the same day especially if this happens with multiple patients, they are going to wonder what is going on.
 
You must log in or register to reply here.
Top