Results 1 to 3 of 3

Consult question

  1. #1
    Default Consult question
    Medical Coding Books
    Hi Everyone.
    I have a consult question. Coding Pain Mgmt, we have an established patient, an inmate, who has returned for #2 in a series of 3 tranforaminal block. However, it was decided he would benefit more from facet blocks in the future. I see no request from the prision, or mention in dictation, for a new problem. Office has coded it as a consult because the request for a different procedure needs to be approved by the prision. Consult vs established f/u?
    Thanks for all the help.

  2. #2
    Milwaukee WI
    Default Established
    For a consult the request for advice or opinion must precede the service. In this case your physician is routinely following an established patient and has determined a new course of treatment is needed. He needs a referral from the prison but this is NOT the same as a request for a consult.

    F Tessa Bartels CPC

  3. Default established
    the doctor can perform, request procedures to be done. (new course of treatment). This would not be a consult, the doctor is following the care of the patient. This would need to be a precert/preauth needed for the procedures to be done. There is no request for opinion prior to the service or the established patient visit.

Similar Threads

  1. Consult Question
    By jflynn in forum E/M
    Replies: 0
    Last Post: 08-05-2015, 08:33 AM
  2. Consult Question
    By Jtk625 in forum Billing/Reimbursement
    Replies: 3
    Last Post: 05-17-2013, 06:51 AM
  3. Consult question
    By in forum Compliance General Discussion
    Replies: 4
    Last Post: 03-30-2012, 01:40 PM
  4. consult question
    By gfreese in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 04-13-2009, 09:35 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.