NESmith
Expert
I know that the consult codes are no longer valid but this is for a DOS in 2009My doctor says he can not bill a consult code with a V dx code I think this is incorrect. Please advise Thanks
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Wiki Consult versus Vcode
- Thread starter NESmith
- Start date
mitchellde
True Blue
What is the nature of the visit?
NESmith
Expert
To determine if a colonoscopy needs to be done V16.0
scorrado
Guest
No you cannot do a consult with a V code. I have accidently sent a couple through and they always get denied. I guess the best way to look at it is why does the referring physician need an opinion from your doctor on family hx of colon cancer? Doesn't really make sense. Hope this helps!
NESmith
Expert
What would you suggest an E/M or preventive?
mitchellde
True Blue
First yes you can use a V code for any visit including a consult but it may not be paid due to medical necessity. I agree that a consult due to family history alone is a little strange unles you are a genetics specialist in which case it is perfectly fine. If you are trying to bill an office visit for a colonoscopy then no you cannot do that as any flavor of encounter when the PCP has requested this be done.