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The patient was seen by the pain doc for the first time for pain management
consult in the hospital. After the patient was discharged, she made an
appoinment to come to our office for the  first time to see the pain doc!

    In this scenario for the office visit, are we billing for a New Patient encounter
    or an Established Patient encounter? Please help.

    Per CPT guidelines, "A new patient is one who has not received any
    professional services from the physician or another physician of the same
    specialty who belongs to the same group practice within the last 3 years".
    So based on this guideline, if the patient was already seen by the physician
    from the hospital, obviously it means you must bill  the office visit as
    established" patient. If you need additional information on this guideline,
    see your CPT code book.
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