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Consultation Requests

  1. #1
    Default Consultation Requests
    Medical Coding Books
    Our physicians frequently perform inpatient consultations. The requesting MDs are beginning to specify a particular physician on their requests. If the on call physician performs the consultation instead of the physician stated on the request, can we still bill a consultation? Can anyone offer some input on this issue? Maria

  2. #2
    Milwaukee WI
    Default Who performed the service?
    If the PCP requests Dr A but Dr B of the same practice/specialty actually performs the consult, then you code the consult for Dr B. (I'm assuming that Dr B documents appropriately and sends a report to the requesting provider.)

    F Tessa Bartels, CPC, CEMC

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