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New Patient Vs Consultation

  1. #1
    Default New Patient Vs Consultation
    Medical Coding Books
    Am I understanding correctly that a new patient equals a transfer of care and a consultation is an opinion/advice regarding management of a specific problem?

    We are an oncology/hematology practice that will often receive referrals from physicians wanting us to evaluate a blood disorder or clear someone who has abnormal labs for surgery. This is from what I understand a consultation and codes 99201-99205 apply.

    But if a patient is referred to us because they have a newly diagnosed cancer and we will be treating the patient and caring for that diagnosis....then it is NOT a consult and new patient codes 99201-99205 apply.

    Am I correct??

    I am new to this and any information you have would be greatly appreciated.

  2. #2
    Milwaukee WI
    Yes, you correctly understand the difference between new patient and consult.
    F Tessa Bartels CPC

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