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New vs. Establish Patients

Annie Posted Mon 28th of July, 2014 17:28:10 PM

If a provider sees a patient in the hospital and patient is new to provider will the patient be new to provider if he sees patient in the clinic for follow up.

SuperCoder Answered Mon 28th of July, 2014 18:05:20 PM

Thanks for your question. No the patient will not be treated as a new patient. CPT defines a new patient as one who has not received any professional services from the physician or another physician of the same specialty who belongs to the same group practice, within the past three years regardless of location. This is the accepted definition by virtually all carriers.

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