You can't bill those as consults. They should be new patient visits or established. Even if you code them as new or established a lot of insurances will still not pay. I recently went to a seminar and according to the speaker from McVey you should not be billing for a visit prior to a colonoscopy if the patient is not having signs or symptoms. According to Medicare guidelines it is bundled in the procedure. Her suggestion was to not bill it at all but if your doctor's insist on seeing the patient have the patient sign an ABN prior to the visit so that they know that they are going to be responsible. Hope this helps!
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