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Thread: Help With E/m

  1. #1

    Default Help With E/m

    AAPC: Back to School
    I have a physician who gets asked to consult in the hospital. There are times that he has not dictated he was asked to consult. When he sees the patient and starts treatment do I code this as a subsequent hospital visit since it's in the hospital?


  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    If his documentation does not support a consult (request/render/report) then it's a subsequent visit.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Join Date
    Apr 2007
    Albany, New York


    I would think that his documentation would dictate how you code this.
    If there is no previous record of a hospital visit, why not code an Initial Hospital encounter?
    Karen Maloney, CPC
    Data Quality Specialist

  4. #4


    The patient was admitted by another physician so I didn't think I could use the initial hospital codes. Is this correct?

  5. #5



    you were correct in your original thinking of a subsequent visit

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