AAPC - Back to school
Results 1 to 5 of 5

Thread: Consulted to give advice during surgery

  1. #1

    Default Consulted to give advice during surgery

    AAPC: Back to School
    Not sure how to code this, as I have never run across this situation. Another doctor was doing surgery on a patient and requested my physician to merely come in (he was scrubbed in of course) and just "peek" at the ovary and tubes to give the another doctor advise on an issue regarding fertility. Not sure why they did it this way.....

    Not truly an E&M.....anyone have this happen before?

    Rhonda Green, CPC

  2. #2

    Default surgery consult

    The surgeons that I code for do this sometimes and there is not really a way to bill for it. It doesn't meet the requirements for an E&M and he did not do any surgical work . I think this is just considered a "professional courtesy" that the surgeons extend to each other.

  3. #3
    Join Date
    Apr 2007
    San Antonio, Tx


    I would think that if the "peeking" physician followed up with a written opinion, he could bill based on time. The pt does not need to be able to communicate with the physician if the physician states why the pt was unable to "consciously" or physically participate in the E&M visit. May even be able to bill as an assist surgeon as long as the primary surgeon dictates why or how the assist surgeon was used. Think of it this way. Does your Dr incur a liability because of his "advise" to the surgeon? If so, then he should also be compensated for his time and professional opinion. Just my thoughts! I'm sure there are those who would disagree, but I see that disagreement as healthy. Because we all value from all opinions: pro or con.
    Ray Galvez CPC

  4. #4


    I agree with you Ray. I would certainly urge my Dr. to make some transcription as to his time spent "peeking" at the other physician's patient. It at least deserves a chance...

  5. #5
    Join Date
    Apr 2007
    Milwaukee WI

    Default 99499 Unlisted E/M

    99499 Unlisted E/M would cover this. Base your charge on the amount of time it took to "peek" and how complicated the situation was. Perhaps on a par with a level 1 or 2 consultation.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Neuro consulted to E.D.
    By dlbh426 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-11-2013, 02:05 PM
  2. Can anyone give me advice?
    By kayainsworth@hotmail.com in forum Employment General Discussion
    Replies: 4
    Last Post: 11-05-2013, 09:30 AM
  3. please give me some advice about CPC exam
    By aapccpcingod in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 03-06-2013, 02:04 PM
  4. Consults from a consulted DR
    By ndlemons in forum E/M
    Replies: 4
    Last Post: 12-22-2009, 02:41 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.