AAPC - Back to school
Results 1 to 3 of 3

Thread: Time lapse new patient

  1. #1

    Default Time lapse new patient

    AAPC: Back to School
    How many years in between visits would it take for a patient to be considered "new" again?

    Thank you,

  2. #2
    Join Date
    Apr 2007
    Santa Rosa


    3 years as stated below:

    Section Notes - 99201-99215 Outpatient and Other Visits - (99201-99215)
    Outpatient and Other Visits

    INCLUDES: Established patients: received prior care from the physician or another physician in the practice of the same specialty in the previous three years (99211-99215)

    New patients: have not received care from the physician or any other physician in the same practice within the same specialty in the previous three years (99201-99205)

    Office visits

    Outpatient services prior to formal admission to a facility

    EXCLUDES: Services provided in:

    - Emergency department (99281-99285)

    - Hospital observation (99217-99220)

    - Hospital observation or inpatient with same day admission and discharge (99234-99236)
    Last edited by hthompson; 11-02-2011 at 10:23 AM. Reason: added citation from section notes
    Heidi Thompson, CPC

  3. #3


    Thank you!!!!!!!

Similar Threads

  1. floor time and expired patient
    By Jersey1006 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-08-2015, 06:14 AM
  2. New patient codes based on time
    By debellis59 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-16-2015, 10:49 AM
  3. Don't let your certification lapse!
    By Pam Brooks in forum Employment General Discussion
    Replies: 3
    Last Post: 03-24-2012, 08:48 PM
  4. Can we bill New Patient based on time?
    By Orthocoderpgu in forum E/M
    Replies: 3
    Last Post: 06-23-2009, 04:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.