Results 1 to 3 of 3

new pt visit coding

  1. Default new pt visit coding
    New Call-to-action
    I work with a multi speciality practice and we have several Orthopedic physicians and are having discussions about when a patient is considered new. For instance if a patient is seen by Dr. A for dx- fractured arm and then 2 years later is seen by Dr. B for dx-fracture leg. Is the visit to Dr. B considered established visit because the physicians work under the same tax identification. Does diagnosis have any role? If anyone knows where I could find documentation to support this I would be really grateful. THANKS

  2. #2
    North Carolina
    Diagnosis has no role. Dr. B would charge an established visit since the patient was seen within the last 3 years, same specialty.

    Interpret the phrase “new patient” to mean a patient who has not received any professional services, i.e., E/M service or other face-to-face service (e.g., surgical procedure) from the physician or physician group practice (same physician specialty) within the previous 3 years.

    Page 47
    Rebecca CPC, CPMA, CEMC

    Your click COUNTS...

    CLICK to give FREE mammograms!

  3. #3
    He is an established patient. In my AMA standard CPT 2010 there is like a flowchart titled "Decision tree for new vs established patient". It is on page 2.

Similar Threads

  1. Observation Visit Coding
    By sgwomack in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-25-2013, 07:42 AM
  2. Multiple visit coding
    By STEPSANCHEZ in forum Emergency Department
    Replies: 0
    Last Post: 07-19-2013, 06:52 AM
  3. Replies: 2
    Last Post: 08-11-2012, 01:20 PM
  4. prolonged visit coding Help!
    By codecrazy in forum E/M
    Replies: 2
    Last Post: 02-21-2012, 09:57 AM
  5. Coding pre-op visit
    By debrowne in forum OB/GYN
    Replies: 1
    Last Post: 12-06-2010, 10:31 AM

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.