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Thread: Hospital Consult Help

  1. #1

    Question Hospital Consult Help

    AAPC: Back to School
    Can someone please help? I was under the impression that if one of my docs(hem/onc) are called in to the hospital on one of our established patients by the hospital physician, that we could bill a consult? T or F? Could someone please point me in the direction of written guidelines on this? Thank you!!!

  2. #2
    Join Date
    Apr 2007


    Depends on why you were called in.

    If they want advice on how they should treat the patient, then yes it is a consult.

    If they are just calling your provider in to help manage the patient, no it is not a consult.

    Consults are all about intent.

    Laura, CPC

  3. #3
    Join Date
    Apr 2007


    "A consultation service requires a request from an appropriate source, the consultation evaluation service, and a written report;" this is from CMS, here is the resource for consultations.

    the consultation area here you'll find on page 52

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