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Wiki New to Outpatient Hospital Coding

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tcoder5

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Ellicott City, MD
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Scenario: A patient is registered in the hospital as outpatient and the physician sees the patient. Do they bill under 99201-99205 or 99211-99215? New versus established rules would apply in this case. Any help is appreciated.
 
Normal vs new vs established patient rules apply to professional charges for a physician regardless of the setting. Of course there are different codes if the patient is in the ER, Observation or Inpatient status
 
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