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Thread: Coding question

  1. #1

    Default Coding question

    AAPC: Back to School
    Patient comes in for cholecystectomy in the morning. afterwards she has trouble with her 02 sats so the surgeon admits her for observation. a second
    physician does a consultation on the same day as the admit to observation.
    Can he get credit for his consultation?

  2. #2
    Join Date
    Apr 2007

    Smile HI

    Does the patient admitted for choelcystactomy initially??
    If not admitted then we code for office consultation,
    dr sunil

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Separate specialty

    If the surgeon requested a consultation from another physician of a different specialty, and the "consulting" physician documented his/her service appropriately, then, yes the consulting physician can charge a consult (99241-45 if patient is in observation status ... considered outpatient).

    HOWEVER .. if the second physician is in the same practice and same specialty as the surgeon but happens to be "covering" the unit ... then, no ... the service would fall under the global post-operative period.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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