Okay, you have two things going on. First, a consult is defined as a type of evaluation and mamagement service provided by a physician at the request of another physician (verbal or written-must be documented). The consultant's opinionand any services that were ordered must also be documented in the pt's chart, and communicated by written report to the requestiong physician or other appropriate source." CPT
Maybe you are using the word "consult" incorreclty?
Second, diagnosis does not matter when it comes to coding a new or est patient. ACOG defines a new patient as "a patient that has not received any professional services from the physician or another physician of the same speciality who belongs to the same group practice, within the past three years."
So, pt not seen in past 3 years by anyone under your tax ID number is new. All others are established.
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