Wiki Inpatient consult/follow-up office visit

[hagand]

Could someone please tell me the correct way to code an inpatient consult with follow-up in the office. Before the consult the patient was not seen by this physician. Would it still be the 99211-99215 codes because the physician saw pt?

 

[LLovett]

Yes, this is now an established patient. Face to face service was provided which is the definition of an established patient per CPT.

Laura, CPC

 

[renifejn]

I agree with Laura

 

[RebeccaWoodward*]

Ditto......

In the office or other outpatient setting, following the initial consultation service, the Office or Other Outpatient Established Patient codes (99212 – 99215) shall be reported for additional follow-up visits. The CPT code 99211 shall not be reported as a consultation service. The CPT code 99211 is not included by Medicare for a consultation service since this service typically does not require the presence of a physician or qualified NPP and would not meet the consultation service criteria.

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

30.6.10

 

[CFSS1953@live.com]

could someone please tell me the correct way to code an inpatient consult with follow-up in the office. Before the consult the patient was not seen by this physician. Would it still be the 99211-99215 codes because the physician saw pt?

yes with modifier 11 (location other than hospital)
love to code- cs

 

[RebeccaCross*]

Ditto......

In the office or other outpatient setting, following the initial consultation service, the Office or Other Outpatient Established Patient codes (99212 – 99215) shall be reported for additional follow-up visits. The CPT code 99211 shall not be reported as a consultation service. The CPT code 99211 is not included by Medicare for a consultation service since this service typically does not require the presence of a physician or qualified NPP and would not meet the consultation service criteria.

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

30.6.10

Just as a side note...

My post is from 2009. Consultations are no longer applicable to Medicare.