Wiki New vs Established patient

[wynonna]

If a pt was seen in past 3 years only by a Medical Assistant to be given a tdap shot, is he new or established?
Our MD signed the procedure note and we billed under him, but he never actually saw pt. Thanks

 

[CodingKing]

Should be fine as long as they didn't bill an E&M w/the vaccine.

 

[wynonna]

new or est pt

So bill new pt for 2nd E & M (99203) since for 1st visit and vaccine pt didn't see MD? (vaccine only)
Thanks

 

[Kris78]

I agree.

CPT professional states that soley for the purposes of distinguishing between new/established patients, PROFESSIONAL SERVICES are those FACE-to-FACE services rendered by physicians or other qualified health care professionals who report e/m services.