lvalbuen
New
This scenario is for non-Medicare patients. An OB-Gyn physician (Dr. A) sees a patient who has a pregnancy complicated by Trisomy 21. She is referred to another OB-Gyn physician (Dr. B) in the same group practice but who specializes in Family Planning. She is referred for discussion regarding medical/surgical termination of pregnancy or expectant pregnancy. After Dr. B. spends time counseling the patient on their options, if the patient decides to terminate, Dr. B will perform the surgery the following day. If the patient decides to keep the baby, then the patient returns to Dr. A to continue with her pre-natal care.
Can Dr. B bill for a consult since both OB-Gyn physicians have different sub-specialties? Or should Dr. B bill for a new patient (based on different sub-specialty) or established visit (based on same group practice?)
Also, if the patient decides to go ahead with surgery (D&E) the following day, can Dr. B bill for the visit before surgery or is this considered a pre-op visit?
Thank you.
Can Dr. B bill for a consult since both OB-Gyn physicians have different sub-specialties? Or should Dr. B bill for a new patient (based on different sub-specialty) or established visit (based on same group practice?)
Also, if the patient decides to go ahead with surgery (D&E) the following day, can Dr. B bill for the visit before surgery or is this considered a pre-op visit?
Thank you.