Wiki Surgeon Consult billing?

[kiku3@ptd.net]

Scenario: My doc who is a surgeon gets called to ER to evaluate patient; does exam, determines patient has acute appendicitis, does surgery, patient recovers and is released, billed from hospital as an outpatient.

My question is this, can I bill for the exam with a 99284,57; since it is an outpatient then the surgery?

Thanks for any help.

Sara

 

[mitchellde]

As long as the documentation supports it then yes, but it is an ER pos for the exam and outpatient for the surgery.

 

[kiku3@ptd.net]

So then I have to create two separate billings, correct? Thank you so much for the speedy reply!!

 

[mitchellde]

no it can go on the same claim, just two separate lines will have different POS, one will have a 23 and one a 22

 

[kiku3@ptd.net]

Sorry, one more question, would I also put a modifier 25 on it, since he performed a surgery the same day? Thanks!!!

 

[mitchellde]

no the 57 will do fine