Results 1 to 3 of 3

New Patient with no exam

  1. Default New Patient with no exam
    Exam Training Packages
    If a new patient comes in for an office visit but the provider does not perform an exam, it would not meet requirements for a new patient level. Can you then bill an established visit level 99211-99215? Does anyone know where we can find documentation to support the answer.

  2. #2
    Columbia, MO
    no you may not as the patient does not meet the definition of an estb patient. The fact that the patient is estb is why those visit levels need only 2 of the 3 key components met. If there is no exam you have no visit.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    You can also use time if it was documented for new patients. I would hope that it is since there was no physical there must have been counseling. Unless the patient walked out, I have had that happen before, we didn't bill anything for those visits.

    Or you could use the unlisted E/M, 99499.

    Laura, CPC, CPMA, CEMC

Similar Threads

  1. Exam When Patient is Unarousable
    By j.berkshire in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 10-01-2013, 06:25 AM
  2. established patient with no exam
    By blondie12 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-18-2013, 11:39 AM
  3. Exam patient in wheelchair
    By donnaber in forum E/M
    Replies: 2
    Last Post: 04-09-2013, 08:15 AM
  4. New Patient Visit w/out Exam
    By catrina.thomas in forum Billing/Reimbursement
    Replies: 1
    Last Post: 06-22-2012, 01:59 PM
  5. New patient visit- no exam
    By terese74 in forum E/M
    Replies: 10
    Last Post: 11-14-2008, 02:23 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.