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Can I bill a new patient code if Dr closed old practice?

Marina Posted Tue 26th of November, 2013 15:47:41 PM

Dr A closed down his practice. He then decided to join a group practice of a different entity and is now an employee at this new group. If Dr A see's one of his previous patients at this new group location that he has joined billing under the group tax id number, can he bill a new patient e&m code even if it's only been a year since he last seen this same patient at his old practice?

SuperCoder Answered Tue 26th of November, 2013 17:48:30 PM

Please see the Decision tree for new vs. established patients on page 5 of the CPT book. Looking at that, it looks like if he see's former patients who he has seen in the last 3 years, they are established patients of his.

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