Need Opinions!! Consults.

ARCPC9491

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I was in another thread about this and want to know what everyone thinks. This is always a hot debate in our office.

When an ER physician - calls a service, such a gen surg, plastics, cardio, etc....... how does everyone code this if the service called doesn't admit the patient?

i.e. : patient is in observation or in ER, do you bill outpatient consults (99241-99245) or outpatient codes whether they are new or established? (99201-99215)
 
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Lisa Bledsoe

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If the patient is not an established patient with the service called and the doctor renders his/her opinion and reports to the ER doc who then discharges the patient from the ER, wouldn't that be a consult? I realize that an ER doc would not normally see the patient back after the consult, but if the "consultant" renders/reports the opnion and leaves the ER discharge to the ER doc, it seems like a consult to me...
 

ARCPC9491

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Agree w/ you! but if the consultant sends them home.. this is where it gets debatable.. and if the consultants sends them home, I say no consult. two other people at my office say consult even if the consulting sends home.. Is there any literature on this somewhere??
 

georgie14

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consults

sorry to throw this in but if a physician sees the patient for an inpatient consult and does not see the patient in the hospital after the consult but then a week or two later the patient comes to the physicians office
Is this a new patient or an established patient?

There is much debate on this
Anyone know where I can find literature regarding this

Thanks
 

ARCPC9491

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sorry to throw this in but if a physician sees the patient for an inpatient consult and does not see the patient in the hospital after the consult but then a week or two later the patient comes to the physicians office
Is this a new patient or an established patient?

There is much debate on this
Anyone know where I can find literature regarding this

Thanks

The patient would be an established patient because the patient received professional services from that physician within the last 3 years.
 
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