New patient vs follow up c/ CNP thrown in

presh180

Guest
Messages
9
Best answers
0
Hi everyone! I work for a Neurology Practice with one Physician and a CNP. I understand the 3 year "face to face" rule to distinguish between a new patient vs follow up, however in the E/M guidelines it states "physician in the same practice/specialty". It does not state any other term besides "physician".

So, my question is: If John Doe was seen by our Nurse Practitioner initially and then 2 years later comes back for an unrelated problem and sees the Physician, can we code this as a NP visit?

I think we have to code as a follow up visit since she is in the same Practice/Specialty, but am doubting myself since the CPT guidelines only use the word "Physician".

Any and all help appreciated! Thanks!
 

presh180

Guest
Messages
9
Best answers
0
That was my thinking too, but the CPT guidelines are so specific with the word "Physician" that you start to doubt yourself!
 

presh180

Guest
Messages
9
Best answers
0
Soooo it would be easier to understand also if the guidelines used the word "Practioner" instead of Physician, right? ;-)
 

MnTwins29

True Blue
Messages
1,191
Location
East Greenbush, NY
Best answers
0
CMS has language in various references that includes "non-physician providers." The cynic in me wants to say the AMA won't give credit to anyone who isn't a doctor! :eek:
 
Top