Forum - Questions & Answers

Sep 30th, 2009 - MSRozier

EM Coding

We have a new physician at our practice and his patients are following. Will we bill new or establish patient.

Thanks,
Melissa

Sep 30th, 2009 - nmaguire   2,606 

E/m

Established, if they were seen within three years.

Sep 30th, 2009 - Codapedia Editor 1,399 

E/m

Look at the definition and flow chart in the front of the CPT book. Since the patient had a professional service from the physician, (assuming in the past three years) it is an established patient, even though group and tax ID changed.

There is a longer explanation in the article titled, "new patients" in codapedia.



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