Consults

vpat28

Networker
Messages
35
Best answers
0
I would like to know how is following scenario will be coded

If a physician is called in ER for a consult and afterwards the Pt is admitted and Consultant physician had no knowledge of it as he not the admitting Physcian .So can consultant physican bill as outpatient consult?
 

RebeccaWoodward*

True Blue
Messages
3,126
Location
North Carolina
Best answers
0
If the physicians advice is being sought and he/she renders his/her opinion, I would say yes. The admitting physician probably used this information to determine the course of treatment, which led to the admission. Since the consulting physician saw the patient in the ER, it would be an outpatient consultation.
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Outpatient consult

If the consultation was performed in the ER and the consulting physician had no other involvement with the patient, then it is an outpatient consultation.
Place of service is the ER POS 23.

F Tessa Bartels, CPC, CEMC
 

vpat28

Networker
Messages
35
Best answers
0
But then what happens if admitting physician bills for hospital admission and the consultant physician bills for outpatient consult and bill goes out for same date of services.

So which physician will get paid for the services ?
 
Top