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Wiki PA's and consults

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busybee1625

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I code for a hand specialist and he has a PA that works with him, my question is can a PA charge a consult? Example, we have referral on file the PA will see the new patient. We were told at one point that PA's cannot charge consults, the other day my supervisor said since the claim is going out under the specialist NPI number the PA could technically charge for the consult. This seems like fraud to me. Any help?
 
You cannot bill the PA consult under the specialist NPI. Consults cannot be billed incident to. And each state has regulations regarding exactly what a PA can and cannot perform. If your state does not allow PA consults the the PA cannot perfom them. If your state says the can then it would need to be billed using the PA NPI
 
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