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Wiki consultation vs referral

M

mrsseeling

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Chillicothe, OH
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I am wanting to make sure that I am coding consultations correctly.
Example: Patient is sent to my surgeon by a family practice physician for a breast lesion. After performing an evaluation and management on the patient, the surgeon decides that the patient needs to have a breast lesion removal in the OR setting.
I would bill this out as a consult, is this correct coding or should this be a regular EM code for a referral?
 
If the primary care provider sent the patient to you for an opinion of what the problem is or what the proper treatment might be and is expecting a report with recommendations from your surgeon then it is a consult. If the PCP sent the patient to your surgeon with a known lesion with the recommendation that your surgeon perform an excision, then it is an office visit.
 
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