tci General Surgery Coding Alert - 2017 Issue 4

Reader Question: Established Patient Moves With Physician

Question: We have a new surgeon joining our practice next month from a nearby practice. If some of her previous patients transfer to our practice to continue their care, should we consider them new or established patients? The surgeon will have a new tax ID number. Texas Subscriber Answer: You should consider the new surgeon’s patients as established patients. You may have heard of the three-year rule when distinguishing between established and new patients. CPT® 2017 defines an established patient as one who has received professional (face-to-face) services from the physician/qualified healthcare professional or another physician/qualified healthcare professional...

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