Asked by: Atenea Oettl
asked in category: General Last Updated: 17th February, 2020

When can you bill for a new patient visit?

Three-year rule: The general rule to determine if a patient is “new” is that a previous, face-to-face service (if any) must have occurred at least three years from the date of service. Some payers may have different guidelines, such as using the month of their previous visit, instead of the day.

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Likewise, people ask, can a nurse practitioner bill a new patient visit?

For example, if an NP conducts a visit with a new patient, the practice must make a choice -- bill the visit under the NP's provider number or bill the visit under the physician's provider number, and have the physician, not the NP, perform and document the portions of the evaluation relevant to the choice of procedure

Secondly, can a consult be billed for an established patient? A consultation code may be billed out for an established patient as long as the criteria for a consultation code are met. There must be a notation in the patient's medical record that a consultation was requested and a notation in the patient's medical record that a written report was sent to the requesting physician.

Regarding this, what is a new patient visit?

A new patient exam refers to the initial examination a patient undergoes during his first visit to a doctor. It is beneficial for any new patient with health concerns. The purpose of the visit is to address any health problem or determine the causes of symptoms that the patient is experiencing.

What is the CPT code for new patient office visit?

New Patient Office Visit (CPT Codes 99201-99205): Coverage and Documentation Requirements.

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