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Consult and I&D at Bedside, proper billing

  1. Default Consult and I&D at Bedside, proper billing
    Medical Coding Books
    Can I bill a hospital consult and I&D at bedside at the same time?
    Thanks.

  2. #2
    Location
    Salt Lake North
    Posts
    817
    Default Be careful with the word "Consult" as these are not paid any longer
    If your doctor sees a patient and performs I&D at beside, an E/M and the I&D can both be billed.

    Just because your doctor is asked to see a patient, does not mean that it is a consultation.

    CMS and most private payers no longer pay for "Consultation" codes due to them being billed inaccurately and coder education failed.

    Chose a code from the initial inpatient set of codes.

  3. Default
    Quote Originally Posted by Orthocoderpgu View Post
    If your doctor sees a patient and performs I&D at beside, an E/M and the I&D can both be billed.

    Just because your doctor is asked to see a patient, does not mean that it is a consultation.

    CMS and most private payers no longer pay for "Consultation" codes due to them being billed inaccurately and coder education failed.

    Chose a code from the initial inpatient set of codes.

    He did a full eval on the patient before doing the procedure. We are mostly office based so not much is done in the hospital unless its a sx that wasn't approved for the surgery center...just so you know where Im coming from with the question.
    The patient does have medicare.
    Thanks for your reply.

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