I have a patient who is asymptomatic but was sent to us (General Surgery) for a risk assessment consult for breast cancer. She has a family history of breast ca and the MD considers her at high risk for breast cancer. We have a consult request and the letter is sent but since she's not having any issues right now, would this be downgraded to a preventive counseling/risk factor reduction visit (99401)? She's being referred to an oncologist to see if she'd recommend starting her on Tamoxifen. If we can bill a consult, would you consider the MDM straightforward since she's not even sick or would you consider it higher because of the Tamoxifen question? Any insights are much appreciated!
Sue
Sue