It's not so much why they came to see you, it's the intent of the visit.
If the requesting physician asks your opinion as he/she doesn't know what course of treatment or a definitive diagnosis, then this could be a consultation. However, if it is clear what the diagnosis is and the MD wants you to handle it and doesn't want to be made aware of the goings on, then it would be a new patient.
You as the consultant can still order testing, perform services, etc. and it still be considered a consultation.
It's all about the intent.
Suzan Hvizdash, CPC, CPC-E/M, CPC-ED
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