Results 1 to 3 of 3

E/M same specialty,different dx

  1. #1
    Question E/M same specialty,different dx
    Exam Training Packages
    I am in a multi-specialty office and we have several Neurologist. If Dr A, sees
    a patient with neck pain and bills an initial visit, then Dr B sees the same patient a year later with back pain, would this senario fall into the 3 year rule? Would I bill an established patient visit? I say yes, because both Dr's have access to the medical records and bill under the same tax ID#.

    Please help

  2. #2
    Greeley, Colorado
    Yes, this falls into the 3 year rule. Same specialty/same practice is considered to be the "same physician". Unless the patient is sent for a consultation, which you could code as long as documentation requirements for a consult are met and the patient is not Medicare.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Walker Bachman, CPC, CPPM

Similar Threads

  1. ED services by EM specialty code and OBS/ Admission by IM/EM specialty code
    By sauls in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-04-2015, 09:46 AM
  2. specialty
    By cynthiabrown in forum General Surgery
    Replies: 1
    Last Post: 07-07-2012, 08:49 PM
  3. New to specialty~please help me!!!
    By PRINCESSMHH in forum Orthopaedics
    Replies: 1
    Last Post: 10-14-2010, 01:05 PM
  4. Specialty
    By jenp2005 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2010, 03:20 PM
  5. Replies: 1
    Last Post: 03-30-2009, 03:55 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.