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Thread: Pediatric coder in need of help!!

  1. #1

    Default Pediatric coder in need of help!!

    AAPC: Back to School
    Hey guys i have a senario that i need help with. We are a medicaid provider and sometimes we see patients who need referral to a specialist. This pt. Has pe tubes and has come in to get a referral for ear plugs. Can our dr. Charge for this visit and if so what icd9 code should i use. I found v68.81 but not sure if thats right. Thanks for any help.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Did you actually see/examine the patient?

    If your doctor actually saw and examined the patient to determine that a referral to a specialist was needed then you will code the documented E/M service.

    If all you are talking about is making the call / email / fax etc to process the referral, then No, you cannot charge for that.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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