AAPC - Back to school
Results 1 to 3 of 3

Thread: New patient, no problems, doesn't need a physical

  1. #1
    Join Date
    Apr 2007

    Question New patient, no problems, doesn't need a physical

    AAPC: Back to School
    Ok, this is mostly a benefit issue but I'm thinking on it and would like other opinions.

    My doctor wants to see this patient while they are healthy to get a baseline but doesn't want them to wait for a year til they are due for their physical (just had one a couple of months ago).

    The cold heartless account rep in me says do the physical and bill it, if the benefits for well care are maxed that is a benefit issue not a coding issue, patient would be responsible.

    The coder in me says there really is no way around this being a screening visit so you can't use the new patient problem codes.

    My co-worker thinks we should bill this as a new patient problem visit with a dx of V70.3. Which I think will reject as well, and don't really agree with that type of V-code being used with a problem visit.

    Then the last option I can think of is for him to just do a meet and greet, no charge, but go ahead and get the papers signed to get the records from the other provider.

    Thoughts greatly appreciated,

    Laura, CPC, CEMC

  2. #2


    Your right without a cheif complaint it is considered preventive - can't charge the E&M.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Meet n Greet

    I vote for the "meet n greet" option ...

    If I understand your post correctly the patient has just moved into your area and had a physical a couple of months ago. No complaints at this time, just looking for a new doctor. If this "non-medically-necessary" visit is being arranged at the physician's request, to establish the patient, then I would call this a cost of doing business and not charge anything.

    Remember if he codes a face-to-face visit at this time, all future appointments are established.

    Wouldn't he rather capture the new patient preventive the first time he actually sees this healthy patient for an exam?

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 11-13-2009 at 12:17 PM.

Similar Threads

  1. Problems with E/M and Physical on same day
    By dboutwell in forum Internal Medicine
    Replies: 5
    Last Post: 06-08-2012, 06:30 AM
  2. Physician sees patient and doesn't dictate office note, ok or not?
    By admiller04@gmail.com in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-09-2012, 10:30 AM
  3. New patient with chronic problems HELP!
    By NIEVESM in forum Family Practice
    Replies: 1
    Last Post: 08-06-2010, 03:01 PM
  4. New patient w/ no medical problems
    By meganpoelzer in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-11-2009, 09:50 AM
  5. PAs and New Patient/New Problems
    By nikkisgranny in forum Orthopaedics
    Replies: 4
    Last Post: 09-15-2008, 04:12 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.