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3 year rule

  1. #1
    Default 3 year rule
    Medical Coding Books
    A patient was seen in our facility a little over 3 years ago. Pt comes back just over the 3 year mark, and the nurse practitioner that treated the pt, dictated that this was a follow up visit. Can we bill a new patient E/M code??

    Thank you
    Kristen Richard, CPC

  2. Default
    If it has been over three years they are considered a new pt.

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