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Consult or Admit?

  1. #1
    Default Consult or Admit?
    Medical Coding Books
    Good Morning -

    I have a chart I am reviewing -- it is billed as a 99252.

    Date of admit - 7/16/08, Date of consult - 7/16/08

    Primary Care Physician - Dr. A
    Requesting Physician - Dr. B
    Dictating Physician/Consultant (Dr. I am reviewing) - Dr. C

    Reason for Consult - Management of CAD, COPD and CVA

    Dr. C does a complete H&P, an extended ROS, complete Exam.

    1. History of arrhythmia, currently asymptomatic.
    2. Chronic obstructive pulmonary disease/bronchial asthma
    3. Cerebrovascular accident

    There is no request from the requesting physician to do a consult. Am I correct to code this as an admit?

  2. #2
    Greeley, Colorado
    I would check with the hospital first to see if they have an admit note from Dr. A or B and who they have listed as the admitting physician. You may have a subsequent hospital visit on your hands.
    Lisa Bledsoe, CPC, CPMA

  3. #3
    It looks like a subsequent daily visit without the request. I completely agree with Lisa.

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