Results 1 to 3 of 3

Consults-H&P-Procedures

  1. #1
    Question Consults-H&P-Procedures
    Medical Coding Books
    I do not think this can be done, however, other more experienced opinions are requested; the H&P cannot be charged the same day as the procedure (see previous post earlier today) so, the procedure is performed as OP, the patient needs bypass so care is transferred to the surgeon to admit and do the H&P and the next day the interventional cardiologist is consulted and charges a consult. This seems backwards to me.

  2. Default
    That sounds confusing. If the the cardiologist is being consulted it's not part of the global package, it just needs to be billed as a consult with the appropriate V code.

  3. #3
    Location
    Jacksonville Florida
    Posts
    126
    Default
    Quote Originally Posted by jperkins View Post
    I do not think this can be done, however, other more experienced opinions are requested; the H&P cannot be charged the same day as the procedure (see previous post earlier today) so, the procedure is performed as OP, the patient needs bypass so care is transferred to the surgeon to admit and do the H&P and the next day the interventional cardiologist is consulted and charges a consult. This seems backwards to me.
    I think I'm gathering what your saying.

    Sometimes with what I see from my doctors, they will see the pt in office and decide to schedule them for a cath in a day or so, if that's the case, the hosp would need an H&P for their records, you can't bill this again on the same day as the procedure. You would initally bill for the office visit, then a few days later, the cath or whatever procedure they are doing, then if they need bypass, it gets transfered to a cardiovascular surgeon, usually the doctor that did the bypass will transfer care back to the cardiologist. With these, I do not bill a consult, just a follow up visit as it does not meet the guidelines as a "consult", its a "transfer of care". I hope that makes sense, if not, send me a private message and I'll send you my number and try to walk you through it. Good luck
    Jammie Barsamian, CPC, CCC, CEMC, CCS-P, CPMA

Similar Threads

  1. Consults 99254-55 & 99244-45
    By smaxwell4 in forum E/M
    Replies: 3
    Last Post: 09-13-2016, 12:52 PM
  2. POS 61 and Psych Consults & Cigna
    By HILLIC in forum Behavioral Health
    Replies: 0
    Last Post: 06-07-2013, 11:35 AM
  3. Echo's & Hospital Consults
    By heidi3 in forum Cardiology
    Replies: 5
    Last Post: 05-25-2011, 09:32 AM
  4. Help with Psych ICD-9 Sequencing & COnsults
    By crystallena in forum Behavioral Health
    Replies: 5
    Last Post: 07-21-2010, 05:20 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?

Login

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.