Results 1 to 4 of 4

Consultations - billing a consult code

  1. #1
    Default Consultations - billing a consult code
    Exam Training Packages
    When an OP report states Orthopedic Surgery Consult, does this support billing a consult code. The report does not state who requested the consult nor does it state " I was asked to consult on this pt for (reason)".

    Any help would be greatly appreciated....

  2. #2
    For consultations, we always look for the "Three R's " - there MUST be documentation of Request, Render (an opinion) and Response. Who requested the consultation, the doctor's opinion about the problem, and then the response to the requesting provider. Without all three of these, the service is not a consultation.

  3. #3
    Greenville, SC
    Agree with Kate. You must still have documentation of who requested the opinion, in addition to the reason for the opinion. For inpatient records, the common hosptial chart would suffice for the response, but for office services, there would have to be documentation of the response.

  4. #4
    Milwaukee WI
    Default I'm confused ..
    You write: When an OP report states Orthopedic Surgery Consult

    So do you have an operative report or do you have an E/M?

    Please post the documentaiton and we can give you an accurate answer.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. consultations
    By Naveen Rachagolla in forum E/M
    Replies: 0
    Last Post: 07-23-2013, 12:59 AM
  2. Consultations
    By cmartin_333 in forum Orthopaedics
    Replies: 2
    Last Post: 01-15-2010, 03:40 PM
  3. Consultations - new to IR coding
    By dawn1170 in forum Interventional Radiology
    Replies: 1
    Last Post: 06-09-2009, 04:10 PM
  4. Consultations
    By becca12 in forum E/M
    Replies: 2
    Last Post: 12-22-2008, 11:02 PM

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.