If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Have a pt that came into our office for a second opinion consult which dx is ESRD and ins is Medicare. Can someone please give any time of advice in what would be the proper way to code this visit.
Have a pt that came into our office for a second opinion consult which dx is ESRD and ins is Medicare. Can someone please give any time of advice in what would be the proper way to code this visit.
The visit has to be medically necessary, so is the second opinion regarding treatment options for the ESRD or was it regarding the diagnosis itself? Was the second opinion patient initiated? How to code the visit really depends on the circumstances surrounding the reason for the encounter.