You are right ... if the patient was "referred for a colonoscopy" this is NOT a consult (advice or opinion was not requested).
If the patient is new to your practice you may be able to bill a new patient office visit, depending on documentation. If the patient is known to your practice, the evaluation is part of the procedure.
You say there is no exam? There has to be SOME exam for even the lowest level consult or new patient visit. UNLESS, you are billing based on time for counselling/coordination of care.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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