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Neurology & Pain Management Coding Alert

READER QUESTIONS:

Same Stay = Follow-up Consult

Published on Sat Mar 19, 2005

Question: Our neurologist was called for an inpatient consult for a head injury patient. The patient was discharged, then admitted by another physician five days later. The second admitting physician once again called our neurologist for a consult. Do we charge for a follow-up consult, and do we charge for another inpatient consult?


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Answer: You should report an inpatient consultation code (9925x) when the neurologist provides an initial consultation during a different hospital admission. Use a follow-up consultation code (9926x) when the neurologist provides an additional consult(s) during the same hospital stay.
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