I would not agree that you would always lose the office visit. And certainly not if the PA was seeing the patient as a consult.
Let's say the patient was sent over for "eval of rectal bleeding". The PA can do an exam and evaluate the problem. As part of his MDM he can decide that he needs to do a scope. He can also note that his OV note will be put on the OBSV procedure chart as the required pre-op documentation. But this would not void his OV/consult code. This is still a codeable/billable visit.
If the patient was sent over "colonoscopy due to rectal bleeding". Then the eval is inclusive to the requested procedure. The PA would do a pre-procedure eval and could make note to put the eval on the OBSV procedure chart. But this eval is inclusive to the procedure and would not be separately coded. Basically the scope is a planned procedure. The patient was not referred for an eval, he was referred for a procedure
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join