new patient code

codernickie

Networker
Messages
63
Location
Tampa, Florida
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0
we saw a patient for the 1st time for a sick visit but the provider coded it as 99214 and we saw the patient a couple more times after that but never had a new patient appointment. can i bill 99204 after we saw the patient two times in the office?

thanks
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
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0
No...the patient would be considered established for the subsequent visits. Depending how far back the original service took place, you may be able to send a corrected claim and report a new E/M level for the 1st visit. May be more trouble than it's worth.
 
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