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E/m new pt vs estab

  1. #1
    Default E/m new pt vs estab
    Medical Coding Books
    Dexa and E/M charged by the same physican different date of service.
    Can you charge a new patient visit for the E/M - it was performed after the dexa? The physician never physically saw the pt for the dexa. He only interpreted the dexa.

    Kathy, C.P.C

  2. #2
    Kansas City, MO
    For Medicare yes. They use the term "face-to-face". If no face-to-face visit in the past three years, you can charge a new patient visit. Most other insurances will follow this.

    However....CPT uses the term "professional services" no guarantee. I'd bill as new.

  3. #3
    It was billed as New. Medicare paid however Cigna is requesting it be changed to established. Thank you for the response.

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