Well it would depend on a few things, if it's a medicare pt, you wouldn't worry about billing the consult codes since they are no longer valid. On the other insurances, on the ones my docs do, if the pt is a new pt to our practice and they did a full workup, we bill the consult. If the pt is established with us and they have current test's that were performed then we bill the established E&M code.
Hope that helps
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