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Frequently Asked Questions

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If the physician sees a new patient briefly after the NPP has seen the patient for a physical, does this qualify for further incident-to billing at subsequent visits with the NPP or does the physician need to see the patient independently?

No, the visit does not qualify for ‘incident-to’ services. An initial, problem-focused patient visit (CPT codes 99201-99205) cannot be split or shared between the NPP and the physician in order to bill ‘incident-to’ follow-up visits. The physician must independently see the patient and establish a plan of care for the condition.

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