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Wiki Inpatient consult

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Tonyj

True Blue
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649
Location
Lithonia, GA
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Patient was seen as a consultation for lung Ca after admit for dyspnea. HPI was detailed, MDM was high, NO PE performed. What level of service could be considered? I'm leaning toward 99233 but would like others opinion.
 
If the patient has insurance that does not recognize the consultation codes (i.e. Medicare) then I agree with you. Medicare has stated that if history, exam and MDM do not meet the requirements for initial hospital care the provider may bill the appropriate level of subsequent care.
 
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