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New problem or est. prob

  1. Default New problem or est. prob
    Medical Coding Books
    Hello,

    Pt was seen over 3 yrs ago for psoriasis, we have not seen himm since then. He wants to start treatment again, "new patient, new problem" or "new patient, established problem"?

    Thanks!

    dscoder74

  2. Smile New patient
    I would say new patient, established problem

  3. #3
    Default
    I say new patient new problem.

    Since the patient meets the requirements to be considered new again, so do all his issues.

    Just my take on it,

    Laura, CPC

  4. #4
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    I agree with Laura, "new pt/new problem"
    Donna, CPC, CPC-H

  5. #5
    Location
    St.Petersburg, Fl
    Posts
    46
    Default
    It is definitely new patient/new problem...it's the 3 year rule. Even if the patient has been there in the past for the same problem, but he hasn't been there in 3 years he is treated as a new patient.
    Alecia Peck CPC

  6. #6
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    I agree! The three year rule applies.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  7. Default
    Thanks everyone for your responses! Happy New Year!

    dscoder74

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