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Hospital Follow up

Kimberly Posted Tue 19th of May, 2015 16:56:22 PM

If consult services are requested from my provider we bill 99221, 99222, or 99223 for these services. Are we able to bill NP consult when this patient is seen in our office for the first time

SuperCoder Answered Wed 20th of May, 2015 03:22:19 AM

Well, when the patient is seen for the first time in the office the code category new patient office/outpatient consultation can be coded i.e. CPT 99241–99245.

Kimberly Posted Wed 20th of May, 2015 11:36:49 AM

Sorry I did not ask question very well. Our services was requested for inpatient consultation for patient and then was asked continuing seeing patient in our office. I was under the impression we could not bill as a new patient in our office because patient became established as our patient when we consulted in the hospital. I am being told I can bill patients first visit in our office as New Patient??

SuperCoder Answered Thu 21st of May, 2015 02:11:23 AM

Your opinion is correct - since you have already seen the Pt. in Inpt. setup, the Pt. is "established" for the next 3 years and you cannot bill a new pt. visit even though you see the same Pt. in office setup. So when you see the Pt. in your office going forward, bill "established pt. visit" codes only.

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