Results 1 to 3 of 3

Thread: consultations - again

  1. #1

    Default consultations - again

    Promo: Code Books
    My dear fellow E&M coders...
    Being new to this forum, I feel bad for asking so many questions, but I do appreciate all of you for your assistance. I have been researching and reading all of the E&M information I can find. I think I have a really good understanding of the exam and MDM part. Still having some problems with HPI. Enough of my babbling..... My question now is........
    All of the consults I code are for patients who are here for a cardiac consult prior to orthopedic surgery. As far as chief complaint - shouldn't he be documenting the patient's cardiac reasons for the consult instead of something like "Right knee pain with ambulation for the last 3 years. Patient uses a walker. The fact that the patient has an orthopedic problem is not why the cardiologist is seeing her. Am I on the right track? He does document the patient's cardiac problems under past medical history.
    Thank you
    Debby

  2. #2
    Join Date
    Apr 2007
    Location
    Watertown, NY
    Posts
    108

    Default

    i had this same problem, the dr needs to state the reason for the visit for that date of service. (ie pt is here for cardio consult form Dr. A) the ortho stuff is more past history.
    the reason they may be stating it this was is it seems like a preop consult which alot of insurance have a problem paying the V code.
    good luck

  3. #3
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,451

    Default Physician training

    I've trained my phsyciains that the chief complaint for a consult is always:
    "Asked to see patient by Dr Requestor in consultation for X problem."

    This way it is clear that this is a consultation and what the reason for the consult is.

    Absent such clear documentation, we code a new or established patient visit.

    If they want to be paid for a consult, it's not too much to ask that they clearly identify the service as a consult.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. consultations
    By Naveen Rachagolla in forum E/M
    Replies: 0
    Last Post: 07-23-2013, 12:59 AM
  2. Consultations
    By cmartin_333 in forum Orthopaedics
    Replies: 2
    Last Post: 01-15-2010, 03:40 PM
  3. Consultations
    By dawn1170 in forum Interventional Radiology
    Replies: 1
    Last Post: 06-09-2009, 04:10 PM
  4. Consultations
    By becca12 in forum E/M
    Replies: 2
    Last Post: 12-22-2008, 11:02 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.