Consultations by Interventional Radiologists

shupe888

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A patient presents to Radiologists office for a consultation for Venous Insufficiency. PCP gives patient script to evaluate and treat. 1 year later patient returns to radiologist for the same problem but does not see the original PCP who referred patient. Does the Radiologist have to ghet a new script from patient's new PCP? What if patient does not have a new PCP.

Has anyone run into this.

Thanks

Deborah
 

donnajrichmond

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This visit wouldn't be a consult, this is a follow-up visit and the radiologist is the treating physician. He doesn't need a script from anybody else.
 

shupe888

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According to consultation guidelines, any procedures done with the office visit (which there usually is an ultrasound) needs to have a report generated to the PCP who Referred patient to Radiologist, but original PCP does not treat patient anymore so does a new script need to be obtained?

Thanks
Deborah
 

mdoyle53

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Concord, NC or Rochester, NY
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This would not meet the definition of a consult. Do they need a script from the PCP - that would depend on their insurance coverage and the requirements of the insurance.

Had the PCP sent the patient for information - then it might qualify. In your original information the PCP sent the patient with a script to evaluate and treat - this is a referral and does not qualify as a consult since the PCP is passing the care. In order for it to be a consult, the PCP would send the patient for an opinion and then oh by the way treats the patient.
 
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