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.