I'm not sure why you would assume only ladies would respond, but I'll offer my input anyways.
First of all, I'm going to narrow your choices from 3 down to 2, Knock established patient off your list because by definition if they the patient is being seen by a patient of a different specialty (even if they are in the same group and within 3 years) then a new patient visit is appropriate. In your scenario these patients are being referred to a specialist within the group.
"A new patient is one who
has not received any professional services from the physician or another
physician of the exact same specialty and subspecialty who belongs to the
same group practice, within the past three years."
So that leaves you with the option of a consult or a new patient visit, which is the very question I was pondering when I came to this forum today. I would say that if the insurance accepts consults, and the visit meets the criteria of a consult, then bill a consult. However if the insurance does not accept consult codes, or the visit does not meet all of the criteria of a consult, then it should be billed as a new patient office visit in your case.
I have a scenario where one of my docs (Neurologist) wants to bill for a consult for a patient he saw, but it seems to me that this is a transfer of care - the PCP referred the patient here for treatment of the condition, not for the Neurologist's opinion so that the PCP could then treat the problem. The PCP knows that this is something the Neurologist should treat. Sure enough the Neurologist has scheduled follow up visits for the treatment.
I think the Neurologist should be billing a new patient office visit. Do I have the right of it? Or is the doctor right in wanting to bill a consult for the initial visit? I'm going to need to point to some documentation, and so far I haven't found any to support my view.