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Thread: consult coding

  1. #1
    Join Date
    Apr 2007

    Default consult coding

    AAPC: Back to School
    Can a coder use the letter dictated back to the requesting dr as the documentation for the visit, i don't think so please help??
    If not where can i find documentation to the fact.

  2. #2
    Join Date
    Apr 2007


    Yes you can.

    That is actually how many of my specialist document their consults, in a letter format. A copy is sent to the requesting provider and a copy goes in the patients chart.

    If they use additional forms (ie ROS, PFSH filled out by the patient) they still need to reference those by name and date in the letter to get credit if the only E/M documenation is the letter.

    Laura, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    thanks for your help.

  4. #4
    Join Date
    Apr 2007
    Greenville, SC


    I completely agree. All documentation for that visit that is signed by the provider can be used as supporting documentation for the billable code.

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