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Thread: ped surgery consult during gestation

  1. #1

    Default ped surgery consult during gestation

    AAPC: Back to School
    I need to know the proper way to bill for a pediatric surgeon who did a "consult" on a patient who is still in the gestational period. Baby will require surgery after delivery

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Patient is the mother

    You will code the appropriate type and level of E/M as per documentation. The mother will be your patient for billing purposes. The referring physician is probably her OB/GYN.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    The mother was admitted for polyhydramnios and the baby was found to have a duodenal obstruction, which is why the ped surgeon was called in. So if I understand you correctly, I should only code the dx of 657.03. Mother did not deliver during admission to hospital.

    Thanks for the help!!

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