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New patient or established Patient

  1. #1
    Location
    Lauderdale Lakes
    Posts
    203
    Default New patient or established Patient
    Medical Coding Books
    The doctor sees a patient in the hospital and bills new patient when he sees this patient. The patient then comes back a few weeks later or maybe a few months later and the same doctor sees the patient again in the hospital. Would you bill a new patient or established patient? These are outpatient and we are billing the 99202-99205 codes. Also would it make a difference if we are seeing the patient for a different diagnosis each time?

  2. #2
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Once the MD sees the patient for face to face time, the patient is no longer new. He gets more points in the MDM for seeing the patient for a new dx but cannot bill 99201 - 99205.

    Sorry,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Location
    Lauderdale Lakes
    Posts
    203
    Default
    Thats what I thought but I wanted to confirm it. Thank you

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