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Help With E/m

  1. Default Help With E/m
    Medical Coding Books
    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
    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
    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. Default
    The patient was admitted by another physician so I didn't think I could use the initial hospital codes. Is this correct?

  5. Default

    you were correct in your original thinking of a subsequent visit

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