AAPC - Back to school
Results 1 to 3 of 3

Thread: phone consult

  1. #1

    Default phone consult

    AAPC: Back to School
    My doctor was called by a doctor in another state to consult on a pt. My dr has never seen this pt. The dr in the other state told my dr that he should be able to bill for this phone call. What do you think?

  2. #2
    Join Date
    Apr 2007

    Default Unlisted E/M 99499 maybe?

    I don't see anything else that would work.

    99441-99443 have to be established patients, and it is provider to patient not to another provider.

    99366-99368 again have to be established and there must be a minimum of 3 different speicalties involved.

    Just my thoughts,

    Laura, CPC

  3. #3


    I think you will need to do the unlisted.. send along the records.. and see what happens. Are you billing insurance? Since the patient is out of state, does your doctor even participate with their insurance? If you do participate, and they don't pay for non-covered, you can of course bill the patient. If you're non par and they don't pay, I'd bill the patient no matter what.

Similar Threads

  1. Consult over phone
    By dmetz in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-27-2011, 09:43 AM
  2. Phone Services
    By jrajala in forum Billing/Reimbursement
    Replies: 1
    Last Post: 02-28-2011, 07:16 AM
  3. Over the phone consult
    By codernickie in forum Family Practice
    Replies: 2
    Last Post: 12-23-2009, 01:19 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?


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.