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Hospitalists and a Consent Visit

  1. #1
    Exclamation Hospitalists and a Consent Visit
    Medical Coding Books
    One of our hospitalists wants to charge for a short visit to obtain consent for a blood transfusion. I can't seem to locate a cpt that would be comparible to the visit. Is there a code for this?

  2. #2
    Can you use code 99401 for a situation like this and can you use it during an inpatient visit?

  3. #3
    Milwaukee WI
    Default Can you post the note?
    To be certain, I'd have to see the actual documentation.

    I would not use 99401 as this is not a preventive counseling visit.

    I'm thinking there's not enough there for 99231?

    Option 1: Bill based on time when more than 50% is spent counseling/coordination of care. You need at least 15 minutes total time spent for 99231.

    Option 2: If this was one of two visits on the same date of service, roll all the cares into one level of E/M service.

    Option 3: If there was no other visit on this same date of service, then the only thing you could possibly code would be 99499 Unlisted E/M procedure. I'd base my fee on 99231, but based on the documentation and the amount of time spent with the patient I might be inclined to halve that usual fee.

    Option 4: Don't code it at all, as documentation doesn't support even the lowest level E/M.

    Hope that helps

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 08-03-2009 at 03:24 PM.

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