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new patient code

  1. #1
    Tampa, Florida
    Default new patient code
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    we saw a patient for the 1st time for a sick visit but the provider coded it as 99214 and we saw the patient a couple more times after that but never had a new patient appointment. can i bill 99204 after we saw the patient two times in the office?


  2. #2
    North Carolina
    No...the patient would be considered established for the subsequent visits. Depending how far back the original service took place, you may be able to send a corrected claim and report a new E/M level for the 1st visit. May be more trouble than it's worth.
    Rebecca CPC, CPMA, CEMC

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  3. #3
    Tampa, Florida
    thanks rebecca

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