Medical Billing Forum
Coding => Coding => : Rich March 13, 2009, 04:03:10 PM
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If I see a new patient for consultation in the hospital and use CPT 9925x and then see the same patient a week later in my office (but the patient is new to my office) do I use CPT 9924x or do I use 9921x?
Thanks very much.
-Rich.
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That's a good question, hmmmmmm. Wow, I really had to stop and think. I haven't personally been faced with that situation before, but I think that you can bill for the new patient visit in the office since the patient has not been seen before by you for a complete history and physical. The consultation in the hospital was for a specific illness/situation and the office visit is a more complete history and physical.
If anyone has experience with this and I'm not correct, :( please let us know!
Michele
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As far as I know because you have seen the patient this would make them an established patient so it would be a 9921x
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Thanks Michele and FBbilling. I appreciate your responses, but unfortunately, I'm still unsure on how to proceed.
If I am a PCP and get an unassigned patient admitted to the hospital on my service, I see them and discharge them and then have them follow up with me in my office- is my office visit 20x or 21x.
If I am a consultant and I do an inpatient consult on a patient who upon discharge is referred to my office for follow up- is my office visit 24x or 21x?
Any help is greatly appreciated.
-Rich.
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I think that if you see a patient in the hospital for a consult and then the patient comes to the office for a follow up on the same condition I would bill it as a 9921*.
Michele
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Thanks.
-Rich.