Results 1 to 4 of 4

Ov vs hosp consults

  1. #1
    Default Ov vs hosp consults
    Medical Coding Books
    one doctor from our group sees the pt in office and sends him to the HOSP another one of OUR doc's does a consult in hosp. can both be billed?



  2. #2
    Greeley, Colorado
    Who is admitting the patient?
    Are the doctors in question of the same specialty?
    Lisa Bledsoe, CPC, CPMA

  3. Default
    if they are the same specialty or for the same diagnosis the answer is no...

  4. #4
    It looks like both your docs are in the same group/specialty, so you cannot bill for both services. Everything done on the calendar-day has to be compounded into one code (the admit code). I also question if it is really an inpt. consult since the patient is seen by your doc and sent to the hospital. That looks more like your doc (the second one) is admitting the patient after the first of your docs determined that the patient needs to be admitted. If it is a consult, who requested this? (And will get recommendations & report?)
    Last edited by Karolina; 05-29-2009 at 09:51 AM.

Similar Threads

  1. Billing PA-C vs Dr. for IP Hosp consults
    By mshaw530 in forum E/M
    Replies: 1
    Last Post: 03-26-2015, 08:21 AM
  2. Discharge from hosp & admit to hosp?
    By Orthocoderpgu in forum E/M
    Replies: 0
    Last Post: 07-17-2012, 10:19 AM
  3. Consults and Hosp with Echo/Stress test
    By mcgraws in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-08-2012, 10:34 AM
  4. PA billing Hosp Consults
    By jlb102780 in forum Cardiology
    Replies: 3
    Last Post: 06-18-2009, 05:30 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.