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New Patient

  1. #11
    Location
    Spokane Washington 50913
    Posts
    6
    Default
    Medical Coding Books
    Quote Originally Posted by mitchellde View Post
    99211 is for established patients so for a new patient that comes in for an injection and receives that injection, it would be coded with the injection admin code such as 96372 plus the J code for the drug
    Patient was only seen for shot by a nurse, so I only submitted Administration code for injection. However, what I am confuse about is , when the patient actually is seen by provider, on a different day. Is it appropriate to use New Patient code 99203-99205. Thank you

  2. #12
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by padelson View Post
    Patient was only seen for shot by a nurse, so I only submitted Administration code for injection. However, what I am confuse about is , when the patient actually is seen by provider, on a different day. Is it appropriate to use New Patient code 99203-99205. Thank you
    No patient is now established in the practice.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #13
    Location
    Columbia, MO
    Posts
    12,527
    Default
    Quote Originally Posted by padelson View Post
    Patient was only seen for shot by a nurse, so I only submitted Administration code for injection. However, what I am confuse about is , when the patient actually is seen by provider, on a different day. Is it appropriate to use New Patient code 99203-99205. Thank you
    My biggest issue with this scenario is that your provider did not see the patient, so he was neither the rendering nor the supervising entity. You nurse cannot follow orders from a provider they are not employed under. So unless your provider saw the patient and approved the medication then you truely
    * should not have rendered the service
    * cannot bill for the service
    A physician cannot provide supervision for a treatment he has neither ordered nor approved.
    This is physician office, now hospitals and outpatient clinics are different.

    Debra A. Mitchell, MSPH, CPC-H

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