tci E/M Coding Alert - 2022 Issue Q4

Reader Questions: Remember New Patients are Never Incident-To

Question: A new patient came in and the nurse practitioner (NP) took the initial history and performed the check-up. The physician was in and out of the room, and always available if needed. Is this visit billable as incident to? Pennsylvania Subscriber Answer: No — new patient encounters are not covered under incident-to guidelines. This is because the physician must initiate treatment and see the patient regularly to show they’re actively involved in the ongoing treatment of the patient’s condition. This is not possible with a new patient because a treatment plan has not yet been established...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.