consultation

  1. C

    E/M Consultation - CPC exam prep question - help

    I am sitting for my CPC exam on Saturday. There is a question in the Study Guide that has me stumped (and my two CPC colleagues too). A 55-year-old patient is seen in an office visit by an otolaryngologist. Dr. Nettles, at the request of her primary care provider for sudden hearing loss. The...
  2. O

    Question Place of Service for Surgery Consults at the Hospital

    Hello. I recently started working for a surgeon. This is my first time coding for a physician that sees patients in a hospital setting. He is on call and sees patients in the ED, ICU, etc..I am often unclear on which place of service to choose for his E/Ms. He mostly does surgery consults...
  3. C

    Seeking advocacy group for medical to combat unconscionable insurance practices

    Seeking advocacy group for medical practices to combat baseless denials Hi. I work for a billing group that services multiple medical practices. We are spending ridiculous amounts of time processing claim reconsiderations for denials that are baseless from any logical perspective. For...
  4. J

    AWV and Consult on same day.

    Hi, Can an AWV G0438/G0439 (either initial or subsuquent) be reported with an outpatient consultation (99241-99245) on the same day? I checked the 10/1/16 CCI edits and these coding combinations are not present. [I am compiling documentation of preventative services for physicians to reference...
  5. K

    Billing Consultation code 88329 multiple times

    The provider submitted a surgical pathology report showing that 8 specimens were obtained and examined during a surgical procedure. The provider is billing CPT 88329 a total of 8 times for the same date of service. Is this appropriate?
  6. D

    Inpt consultation codes (Neurology)

    When coding using pr
  7. K

    E/m visit with prolonged service on separate day

    I have a coding question regarding inpatient billing. I've been looking for information in regards to this, but I have yet to find anything conclusive. Let's say a palliative care dr saw a patient on may 2, 2016 and billed for these services..let's say 99222. Then he goes back may 5, 2016...
  8. M

    Travel Consultation ICD-10 Code

    Does anyone know which ICD 10 code works best for a travel consultation, and has actually received payment for it. We will be using Z23 for the immunizations, but would like to use a more defined code for the consultation CPT code 99211 that we will be using.
  9. K

    Psychiatry initial in office consultation

    I am new to Psychiatry billing, I have a seasoned Psychiatrist who keeps telling me he has only been billing 90792 for his initial 90min in office consultation. I do not think that is right and am wondering why I am not also billing a 99205. I am guessing at his previous practice his coders were...
  10. L

    Lactation consultation with office visit

    Patient comes in for office visit due to fatigue, insomnia, sore nipples, breast pain and needs a Lactation consultation. Provider does Lactation consultation dx Z39.1. This is done in the office, not in the home so 99501 cannot be used. What CPT would you use for the Lactation consultation...
  11. L

    Office visit with a Lactation Consult

    Patient comes in for office visit due to fatigue, insomnia, sore nipples, breast pain and needs a Lactation consultation. Provider does Lactation consultation dx Z39.1. This is done in the office, not in the home so 99501 cannot be used. What CPT would you use for the Lactation consultation...
  12. L

    Same practice, Different Specialties: Can you bill for consultation?

    I have a PCP who works with a Cardiologist sometimes. The PCP wil "refer" to the Cardiologist (same tax ID) and the Cardiologist will bill for the procedures and a "consultation." There is, of course, the medical record which could serve as the report. But is this appropriate? Thanks, Lin
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