1073358
Expert
Hypothetical scenario:
Patient presents as new patient, sees our PA. Pa does Hx, exam, etc. and decides knee pain is likely an infection. PA consults with the MD and they agree an aspiration should be done. MD comes in the room and performs the aspiration.
I would bill the PA as 9920X-25 and then a 20610-RT/LT for the MD.
I know the MD needs to document a procedure note for that aspiration. The question we have is, can the PA scribe or document that PX note for the MD since she is still in room observing the procedure and then MD can review and sign it? Is that an appropriate practice? If this is unacceptable, please explain why and provide documentation supporting that stance. Thanks.
Patient presents as new patient, sees our PA. Pa does Hx, exam, etc. and decides knee pain is likely an infection. PA consults with the MD and they agree an aspiration should be done. MD comes in the room and performs the aspiration.
I would bill the PA as 9920X-25 and then a 20610-RT/LT for the MD.
I know the MD needs to document a procedure note for that aspiration. The question we have is, can the PA scribe or document that PX note for the MD since she is still in room observing the procedure and then MD can review and sign it? Is that an appropriate practice? If this is unacceptable, please explain why and provide documentation supporting that stance. Thanks.