AAPC - Back to school
Results 1 to 2 of 2

Thread: Consultation/Counseling

  1. #1

    Default Consultation/Counseling

    AAPC: Back to School
    What code do you use when a doc does a consultation with a comatose patient, and then spends time with the family to discuss removing life support? Can prolonged service be used?


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Done on the floor/unit

    If the meeting w/ family was done on the floor/unit then use the counseling/coordination of care rule to determine the level of E/M.

    Documentation must include:
    1)Total amount of time spent face-to-face w/ patient (includes unit/floor time in an inpatient setting)
    2) Amount of time spent in counseling/coordination of care (must be more than 50% of total time)
    3) State nature of the counseling/coordination of care
    4) For a patient unable to participate in medical decision making, state WHY patient is unable to participate.

    EXAMPLE: After brief examination of patient, I spent time with the family discussing end of life issues and removal of life support. Total time spent face-to-face with patient and family: 45 minutes. Total time spent in counseling and coordination of care: 40 minutes. Patient unable to participate in medical decision making due to comatose state.

    If the time spent is sufficiently long, yes, you may be able to code both an E/M and the prolonged service code. Additionally, it is possible that this patient's condition, and the care provided qualify for critical care. It all depends on the documentation.

    Hope that was helpful.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. counseling
    By Sandra F in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-30-2010, 09:27 AM
  2. counseling dx
    By scochran1 in forum Cardiology
    Replies: 1
    Last Post: 05-27-2010, 08:10 PM
  3. Outside Consultation - Help....
    By HNISHA in forum Pathology & Clinical Laboratory
    Replies: 3
    Last Post: 02-25-2010, 11:30 PM
  4. Outside Consultation - Help....
    By HNISHA in forum Interventional Radiology
    Replies: 0
    Last Post: 02-25-2010, 02:26 AM

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?


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.