Wiki Two consults in one week

[lkoch829]

I am new to anesthesia e/m coding...One doctor did an IP consult and performed an epidural. Six days later another doctor from our practice wants to charge for a consult and epidural. There cannot be two consults from the same practice because they are not specialists, but can we charge for an est. pt e/m with the second epdural b/c there is no global period with CPT 62318? I have overthought this and need some outside advice!

Thanks!

 

[Lisa Bledsoe]

If the second doctor is consulting for a different problem, they should be able to code a consult. If it is the same problem, an established e/m is appropriate.