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Consults

  1. #1
    Angry Consults
    Medical Coding Books
    I would like to know how is following scenario will be coded

    If a physician is called in ER for a consult and afterwards the Pt is admitted and Consultant physician had no knowledge of it as he not the admitting Physcian .So can consultant physican bill as outpatient consult?

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    If the physicians advice is being sought and he/she renders his/her opinion, I would say yes. The admitting physician probably used this information to determine the course of treatment, which led to the admission. Since the consulting physician saw the patient in the ER, it would be an outpatient consultation.

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Outpatient consult
    If the consultation was performed in the ER and the consulting physician had no other involvement with the patient, then it is an outpatient consultation.
    Place of service is the ER POS 23.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Question
    But then what happens if admitting physician bills for hospital admission and the consultant physician bills for outpatient consult and bill goes out for same date of services.

    So which physician will get paid for the services ?

  5. #5
    Location
    North Carolina
    Posts
    3,126
    Default
    Both physicians get paid. Two separate services.

  6. #6
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    They both should as Rebecca states - two separate services as well as two separate place of service codes...
    Lisa Bledsoe, CPC, CPMA

  7. #7
    Smile
    Thanks for your responses .

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