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Thread: Conuslts, Consults, Everywehre

  1. #1

    Default Conuslts, Consults, Everywehre

    AAPC: Back to School
    Can a provider bill for a consult when first seeing the patient in hospital, then bill another consult when the patient is seen as a new patient in a rehab facility by the same doctor?

  2. #2
    Join Date
    Apr 2007
    Hartford, CT


    First, if this is Medicare he cannot bill a consult at all. In the hospital lhe would bill 99221-99223 or 99231-99233 depending on the documentation. If the patient were an out patient or in the ER the appropriate outpatient/ER codes would be billed.

    Second, if the doctor saw the patient in the hospital, he/she would not be a new patient at the rehab facility, he/she would be established.

    That being said, if the patient was NOT a Medicare patient and your doc received a request from another doc to evaluate the patient at the facility, then yes he can bill another consult. The big IF here is; was there a request to see the patient, or was it just a follow-up from the hospital.

    Doreen, CPC
    Last edited by dclark7; 04-23-2010 at 01:48 PM. Reason: spelling error

  3. #3
    Join Date
    Apr 2007

    Default Hello clseal!

    I saw your question and knew it was you!!! Hope you are having a great day, TGIF!!

  4. #4


    thank you for the response! and hello hello KLCF! hope you are having a good day!

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