Consult and I&D at Bedside, proper billing

Orthocoderpgu

True Blue
Local Chapter Officer
Messages
912
Location
Salt Lake City, UT
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Be careful with the word "Consult" as these are not paid any longer

If your doctor sees a patient and performs I&D at beside, an E/M and the I&D can both be billed.

Just because your doctor is asked to see a patient, does not mean that it is a consultation.

CMS and most private payers no longer pay for "Consultation" codes due to them being billed inaccurately and coder education failed.

Chose a code from the initial inpatient set of codes.
 

MSFoot45

New
Messages
6
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0
If your doctor sees a patient and performs I&D at beside, an E/M and the I&D can both be billed.

Just because your doctor is asked to see a patient, does not mean that it is a consultation.

CMS and most private payers no longer pay for "Consultation" codes due to them being billed inaccurately and coder education failed.

Chose a code from the initial inpatient set of codes.

He did a full eval on the patient before doing the procedure. We are mostly office based so not much is done in the hospital unless its a sx that wasn't approved for the surgery center...just so you know where Im coming from with the question.
The patient does have medicare.
Thanks for your reply.
 
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