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Inpatient Consults

  1. #1
    Default Inpatient Consults
    Medical Coding Books
    Hi Listserve,
    This is a question that I already know the answer for, but I want to make sure I am in agreement.

    A request is made for an opinion or advice in the inpatient setting for a problem that the consulting physician already gave 3 months previously & already billed an inpatient consult for 3 months ago.

    The consulting physician wants to report a subsequent visit due to the same problem he already gave an opinion to previously.

    May he/she report an inpatient visit for the same problem? Or, should he/she report a subsequent visit? Just a note, that yes - all the requirements were met for the consult.
    Evangelina Frohna, CPC, CEMC

  2. #2
    Milwaukee WI
    Default Continuosly seeing patient for problem?
    If the consulting physician has continued to treat the patient for the problem, I would think that a subsequent hospital visit would be more appropriate.

    If the consulting physician has not seen the patient for the problem in the intervening 3 months, I'd say he has an inpatient consultation. (Assuming all benchmarks are met and documentation supports.)

    F Tessa Bartels, CPC, CEMC

  3. #3
    San Gabriel Valley
    Default inpt consultation
    I agree with Bartels response

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