New VS Established

ortho1991

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North Andover, MA
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Hi

We are a multi spec. ortho group with 2 hand surgeons credentialed for their sub-specialty hand, all billing under the same tax ID # Can our hand doc. charge a new pt visit if the pt was refered by our knee doc. all in the same group same tax ID#?

Thank you for any help.
 

QodingQueen

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New Windsor, NY
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You can find more information about the deletion of the "Decision Tree" in the CPT 2011 in April 2011 Coding Edge "Make the Most of CPT at Your Fingertips" at the bottom of page 24. See quote below.

Best of luck to you.


"Decision Tree Takes a Vacation, but Still Applies
The New vs. Established Patient Decision Tree, which previously
was included in the Evaluation and Management
(E/M) Services Guidelines section, does not appear in the
CPT® 2011 Professional Edition. Peter A. Hollmann, MD,
vice chair of the AMA CPT® Editorial Panel, announced
on Nov. 10, 2010 at the CPT® and RBRVS 2011 Annual
Symposium in Chicago that the omission of the New vs.
Established Patient Decision Tree from CPT® 2011 does
not represent a change in policy regarding how to determine
whether a patient is new or established. The definition
of “new” and “established” patients in the Evaluation
and Management (E/M) Services Guidelines remains unchanged
from 2010. Hollmann predicts the New vs. Established
Patient Decision Tree will reappear in the 2012
edition of CPT®."
 
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