General E&M Consult

Recently we have received a “re-code” on a new patient (we billed a 99203 and the insurance re-coded it to a 99213). The patient was a new patient, however had seen us for an HSG, ordered by her OB/GYN. The insurance company states we cannot bill an E & M for a new patient since she had already seen us. Our doctor did not do any type of consult/physical or office visit, we strictly performed a procedure ordered by another physician outside of our practice.


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