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Thread: consult or not

  1. #1
    Join Date
    Apr 2007

    Unhappy consult or not

    AAPC: Back to School
    dr wants to bill for a consult when a patient was post op tonsillectomy; dr was out of town and talked on the phone to ER dr. and advised er dr as to the course of treatment. Patient was admitted to hospital.

    help please

  2. #2
    Join Date
    Apr 2007


    Not only is it not a consult, you can't bill any defined CPT code at all for this phone call.

    He didn't see the patient, he didn't talk to the patient, he wasn't even face to face with the other doctor.

    You could try a 99499 and submit his documentation but I would be shocked if they paid anything.

    Good luck,

    Laura, CPC, CEMC

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