coder25
Guru
Good afternoon!
I am not sure what to do in this case and needed opinions.
Our PA-C evaluated a new patient and the doc also examined the patient and recommended admission to the hospital.
She was later admitted and underwent I&D in the OR by the same physician who saw her earlier in the day.
Is it acceptable to bill out the consult under the PA-C numbers with a modifier 25 and bill out the I&D under the doc's numbers? The patient has AETNA insurance, not Medicare or Medicaid.
Thanks for your help.
Peggy
I am not sure what to do in this case and needed opinions.
Our PA-C evaluated a new patient and the doc also examined the patient and recommended admission to the hospital.
She was later admitted and underwent I&D in the OR by the same physician who saw her earlier in the day.
Is it acceptable to bill out the consult under the PA-C numbers with a modifier 25 and bill out the I&D under the doc's numbers? The patient has AETNA insurance, not Medicare or Medicaid.
Thanks for your help.
Peggy