dpeterson39
Contributor
The GI Providers at my Clinic have asked for a search to retrieve information pertaining to office visits following Open Access Scopes performed at the request of Patient's PCPs. I have brought to their attention that their visits following the Open Access scopes (a.k.a Professional Services) must be reported with an established patient code from series 99212-99215. In return they asked to have a census of Clinics nation wide to review the operational practice of the cognitive evaluation should the Open Access scope result inconclusive. Here are the specific of the situation at hand: Patient presents to PCP with Abdominal pain. PCP requests Colonoscopy through Open Access GI Lab. Scope is performed by GI Provider. Scope is inconclusive and GI Provider requests that the patient be scheduled with other GI Provider within the Practice for a cognitive evaluation of a patient. This visit in their mind would constitute as a consult whereas CPT Nomenclature in both CPT 2008 and The Principals of CPT, 5th addition state otherwise. Any thoughts or specific documentation that folks could share would be greatly appreciated!! –Dawn