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You injected his knee in the office almost 3 years ago for osteoarthritis, and have not seen him since
6%
125/2177
He had an arthroscopic operation by your partner 4 years ago
71%
1535/2177
You were consulted 1 year ago for shoulder pain when he was hospitalized for chronic renal failure
137/2177
He was seen by your partner in clinic for a herniated disk 2 years ago, but had no procedures performed
14%
309/2177
You performed a hip replacement on him 12 years ago, and his last follow-up was 18 months ago at which time he was doing well
2%
45/2177
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Only answer two is correct. The 2009 guidlines clarify that the patient can be defined as new only if he has not been seen by anyone in the physician's same group practice and of the same specialty in the past 3 years. Hand and sports medicine specialists with a CAQ, however, are an exception and are allowed to bill for patients already seen by other orthopedists in the same group as new patients. This scenario would not qualify as a consultation, since the orthopedic surgeon is taking over care of the patient's problem and is not merely offering advice to another physician who is already caring for the patient. Consultations do not have the same 3 year time qualification. However, Medicare and many other insurers no longer recognize consultation codes.
1.6
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