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Wiki Consults

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lalalisa

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We have two doctors that are in the same practice and same specialty. Dr. A did an inpt consult at the request of the admitting md upon admission. The patient was in the hospital for a long time. The patient developed a totally new problem and dr. B was requested to see patient. We billed consults for both doctors and the second one is being denied by medicare. I know that doctors from the same group cant bill more than one consult during same admission, but does it matter if there is a totally knew problem?

Thanks for the help
 
Consult x 2

Unfortunately only one consult per admission per provider/group even with a new problem.

Michele R. Hayes, CPC, CPMA, CEMC, CGIC
 
consult

Per the guidelines, only one consultation should be billed per admission.

However, I do not know of any rule or reason why the second provider should not bill an appropriate inpatient level of service (99221-99223), supported by the documentation for the service provided.
 
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