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Consult with colonoscopy

  1. #1
    Kansas City, MO
    Exclamation Consult with colonoscopy
    Medical Coding Books
    I just found out a gen surg in our group has been billing a consult with a colonscopy. Situation is pt is set up for colonoscopy via their PCP....surgeon meets pt that day, examines and dictates wht he calls a consult, and then performs the scope.
    Pt is already scheduled for colonoscopy when he meets them...and I think work up is inclusive of procedure.
    I am meeting with him tomorrow.
    There is no request for consult.

    My question there ANY situation where he might be able to get away with a new pt visit? Seeing as how he meets the pt at the hospital for their scheduled there really a justifiable visit allowed for the decison to perform procedure?

    I am just covering my bases...I don't think he is gonna like what I tell him.

  2. Default Consultation prior to colonoscopy
    I work for a GI group. There is no consultation prior to the colonoscopy. Any H&P, etc done immediately prior to the procedure is considered to be included.

  3. #3
    Kansas City, MO
    I am finding some postings that are saying if the patient comes in with symptoms, then an e/m service "may" be justified...but I am not getting anything concrete. Anyone have any solid info on this?

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