If the patient is being sent to you to have surgery ... then it's not a consult.
If the surgeon is seing a patient in consultation, and decides that surgery is needed ... even if surgery occurs the same day ... then it's a consult. The surgeon's dictation on the consultation should be specific to the decision for surgery and not cover what happened during or after the procedure.
I know they are busy. I know it's a headache to dictate two notes. But if they want to be correctly paid for the services they render, that's how they need to document.
F Tessa Bartels, CPC, CEMC
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