• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki consults - quick question?

Create Wiki
C

cherylann.knighton

Guest
Messages
54
Location
New Portland, ME
Best answers
0
hi!
quick question? Consult
Medicare patient (outpatient)
Pt was admitted to Observation by hospitalist. My General Surgeon was requested to consult and performed an EGD on that visit.
I know we can't use consult codes. Would it be appropriate to use 99218 with the EDG code? The hospitalist also used 99218 but should the AI modifier be attached to the hospitalist e/m?
Thanks for your help!:)
 
cknighton@fchn.org said:
hi!
quick question? Consult
Medicare patient (outpatient)
Pt was admitted to Observation by hospitalist. My General Surgeon was requested to consult and performed an EGD on that visit.
I know we can't use consult codes. Would it be appropriate to use 99218 with the EDG code? The hospitalist also used 99218 but should the AI modifier be attached to the hospitalist e/m?
Thanks for your help!:)
Click to expand...

According to Medicare, for a consult for a patient in Observation, the consulting doctor would use the appropriate out-patient code depending on whether the patient is new or established to that provider (99201-99205 or 99212-99215). If your physician sees this patient the following day for a follow-up, they would also use the outpatient codes. For Observation, only the attending doctor uses the Observation codes.

Hope that helps!
 
You must log in or register to reply here.
Top