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Time lapse new patient

  1. Default Time lapse new patient
    Exam Training Packages
    How many years in between visits would it take for a patient to be considered "new" again?

    Thank you,

  2. #2
    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 11:23 AM. Reason: added citation from section notes
    Heidi Thompson, CPC

  3. Default
    Thank you!!!!!!!

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