BrendaC1957
New
Scenario:
The parent/legal guardian has a face to face visit with a provider regarding a minor patient who is not present in the facility. During the visit the provider discusses the minor patient's recent lab results and obtains a referral to a specialist.
How would this service be reported. If a specific CPT E & M cannot be suggested by the information I have provided- an E & M category would be helpful. Your reasoning/source for your suggestion would also be helpful.
Who's medical record would this visit be documented? The minor patient's chart or the parent/legal guardian's chart that had the face to face with the provider? I believe there would be a direct correlation of who's chart the documentation existed to who's insurance are you going to bill?
In this case, our provider documented in the minor patient's chart.
Thanks
The parent/legal guardian has a face to face visit with a provider regarding a minor patient who is not present in the facility. During the visit the provider discusses the minor patient's recent lab results and obtains a referral to a specialist.
How would this service be reported. If a specific CPT E & M cannot be suggested by the information I have provided- an E & M category would be helpful. Your reasoning/source for your suggestion would also be helpful.
Who's medical record would this visit be documented? The minor patient's chart or the parent/legal guardian's chart that had the face to face with the provider? I believe there would be a direct correlation of who's chart the documentation existed to who's insurance are you going to bill?
In this case, our provider documented in the minor patient's chart.
Thanks