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New vs established pt

Eileen Posted Thu 05th of January, 2012 15:21:05 PM

Established pt was seen by Internal Medicine in a satellite clinic in August 2011. Patient self referred to another Internal Med provider at the main clinic in September 2011 (patient wished to change to a female provider). The first visit (at the satellite clinic) was billed 99214. The second visit (at the main clinic) was billed 99202.

Should the second visit have been billed established patient since it was same specialty and patient self referred?

SuperCoder Answered Thu 05th of January, 2012 22:51:04 PM

I need more research into this. Yet, I think there is no face to face evaluation in satellite clinic services, so should not play a role in deciding a New or Est.Patient for a face-to-face visit.

Eileen Posted Mon 09th of January, 2012 13:10:27 PM

There was a face-to-face visit in both encounters. The satellite clinic is owned by the main clinic; the satellite clinics are in small towns so patients do not have to travel to the main clinic.

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