If only the answer were simple. There are a lot of factors to consider.
1. Was the patient sent in consultation by another provider for this office service?
2. Was the problem the same as what the other MD had seen the patient in the hospital for?
3. Which ID# was the first service submitted under?
This particular visit can be consultation if:
1. Another provider was asking for the opinion of this MD for a particular problem.
2. This is documented in the patient's medical record.
3. A report is sent back to that particular requesting physician.
If the problem is the same as the inpatient problem, I am inclined to bill this as an established service
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