AAPC - Back to school
Results 1 to 6 of 6

Thread: Consult question

  1. #1

    Default Consult question

    AAPC: Back to School
    I would like other opinions on whether or not you would audit this and decide that it meets criteria for a consult (vs. new patient code):

    John Black, M.D.



    Mrs. Doe is a pleasant XX year old female being see today for initial evlauation of chronic kidney disease. Labs available to me from her primary care physician show a baseline creatinine XXX.............

    Assessment and plan:

    List out diagnoses and plans for them

    I recommended to Mrs. Doe that she does not use RX on a regular basis.......

    No consult letter is sent but information is sent to physician listed under consulting physician above.

    What say you?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    I see no consult here. There is no real clear cut reason as to why the consult was requested. What was the requesting doctor asking for? so I say no consult.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007

    Default I don't see a consult either

    This looks like the pcp sent her to a nephrologist for her CKD. He states "initial evaluation" to me this indicates he plans on seeing her for this problem from now on.

    Which I know you can do a consult and then pick up the care for that problem but if the intent is to take over care all along there is no consult.

    Laura, CPC, CPMA, CEMC

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Where's the exam?

    Plus .. where's the exam? You need three of three (unless time is used and more than 50% of total time was spent in counseling/coordination of care).

    F Tessa Bartels, CPC, CEMC

  5. #5


    I agree with no consult, no clear indication of what the consultation was for and no clear indications of findings for the PCP

  6. #6
    Join Date
    Apr 2007

    Smile Consult

    I agree, this is not a consult as he states she is here for her initial evaluation which indicates to me a transfer of care.

Similar Threads

  1. Consult Question
    By jflynn in forum E/M
    Replies: 0
    Last Post: 08-05-2015, 08:33 AM
  2. Consult Question
    By Jtk625 in forum Billing/Reimbursement
    Replies: 3
    Last Post: 05-17-2013, 06:51 AM
  3. Consult question
    By bright57@msn.com in forum Compliance General Discussion
    Replies: 4
    Last Post: 03-30-2012, 01:40 PM
  4. consult question
    By gfreese in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 04-13-2009, 09:35 AM

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.