Results 1 to 3 of 3

same group, 2 diff specialties

  1. Default same group, 2 diff specialties
    Exam Training Packages
    I have a question, we bill for a group of cardiologists and also have pediatric intensivists, same tax number. If the intensivists bill for lets say, Critical Care 99291, and then they request a consult from one of the cardiologists in the same group, and they both bill for same dx, should we had a modifier on the consult? Is this still considered concurrent care if it's the same group practice?

    Thank you,

    Kathy Super, CPC

  2. #2
    Milwaukee WI
    Default Two different specialites
    Physicians of two different (recognized) specialties in the same practice can each bill independently of one another.

    F Tessa Bartels, CPC, CEMC

  3. #3
    No you would not bill with any modifier. You would bill those sepatately. Physicians that are different specialties but are within the same group, under the same tax Id#, are considered separate and can bill independently. Just as long as your physicians are documenting correctly, if Dr. A in your group, request for a consult from Dr. B who is a different speciality, you may bill a consult.

    Hope that helps
    Kristen Richard, CPC

Similar Threads

  1. different specialties same group practice
    By sbetts in forum Cardiovascular Thoracic
    Replies: 3
    Last Post: 02-22-2012, 02:00 PM
  2. C-diff and C-diff by PCR
    By tracefurious in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2010, 11:10 AM
  3. C-Diff
    By Codersmile in forum Diagnosis Coding
    Replies: 1
    Last Post: 04-21-2010, 08:17 AM
  4. + C. Diff
    By dentfam in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-18-2008, 02:22 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.