Results 1 to 7 of 7

New at E&M. Help!

  1. #1
    Default New at E&M. Help!
    Medical Coding Books
    I don't think physician can bill a consultation code when he performs a Moh's procedure, can he?

    Thanks in advance.

  2. Default
    No you can not. A consultation is when it is requested by another doctor that the doctor evaluate the patient and give them their opinion on a course of treatment.

  3. #3
    It all depends on how this unfolds. Was the patient sent to this provider for an opinion by another provider. Did this provider evaluate the patient for the problem and submit a written report back giving an expert opinion? Was the MOHs procedure a result of the evaluation done per the other providers request? If this is the case and all is properly documented it could be a consult. However, if the patient is sent by Dr. A to Dr. B to get the MOHs procedure done, then it is not a consult. I would very carefully review the documentation and allow a consult only if all Rs apply. It is allowed to initiate treatment as a result of a consult. The important part is what was the intent at presentation - render an opinion or treat.
    Hope this is useful.
    Karolina, CPC, CPMA, CEMC

  4. #4
    The physician performing the Moh's procedure only wrote back to primary Dr. that the procedure had been completed. Performing Dr. will not manage care of patient. No documentation for the request or procedure. Only reference noted by Dr. performing procedure was that he told primary Dr. to send the patient to see him (Dermatologist).

  5. #5
    Columbia, MO
    In that case I say no the consultation code.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    I agree, no consult but you could have a new patient visit if the documentation supports it.

    Laura, CPC, CEMC

  7. #7
    Thanks ladies I thought I was correct.

Similar Threads

  1. Replies: 0
    Last Post: 08-07-2015, 12:40 PM
  2. ICD9 allowable coding for 93880 & 83882 & 93875
    By twinger in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2014, 12:09 PM
  3. Does cpt 73562 & 73565 applies to this report w/ mod 59 & 26?
    By she803 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-08-2012, 11:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.