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consultation notes from another physician

  1. #1
    Question consultation notes from another physician
    Medical Coding Books
    Dr. A asks Dr. B to consult a patient. Dr. A sends all notes and records to Dr. B. Can Dr. B use Dr. A's notes for the HPI, ROS, PFSH, exam, etc?

  2. #2
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    Louisville, KY
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    No, the provider must obtain those by way of his/her staff or directly servicing the patient. Those elements (using someone else's notes) are tallied in the MDM segment of the E/M service.

  3. #3
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    Quote Originally Posted by kevbshields View Post
    No, the provider must obtain those by way of his/her staff or directly servicing the patient. Those elements (using someone else's notes) are tallied in the MDM segment of the E/M service.
    Thanks kevbshields, that's what I thought, just wanted to make sure.

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