Consultation to a surrogacy agency

catharine

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My perinatology physician will often do ultrasounds/consultations for future surrogates. Can she bill a consultation code (9242-99245) when the requesting provider is a surrogacy agency not a physician? I do not have an individuals name just the company's name. I'm thinking I should bill a new patient visit. Has anyone had anything like this before? Thanks so much.
 

csperoni

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The requestor must be "a physician or other appropriate source." Other appropriate source is not exactly defined, but I personally would not consider a surrogacy agency (especially without a name/department) as an other appropriate source.
Here's a good AHIMA article about consultation codes: http://library.ahima.org/doc?oid=67356#.YAocyhZOn6o
Additionally, so many insurances will no longer accept consultation codes that we have stopped using them altogether.
 
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