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Thread: Intra-operative consult

  1. #1
    Join Date
    Apr 2007

    Default Intra-operative consult

    AAPC: Back to School
    I have a general surgeron being called for an Intra-Operative consult. Is it acceptable to bill this encounter with 99241-99245--of course if the payer still reimburses for these codes.

    Also, if a patient is coming to the GI office to see about getting a screening colonoscopy, and the patient has no problems or risks, are these encounters supposed to be billed with the consult codes?

    Any guidance would be appreciated.
    Thank you!!
    Tiffany Fischer, CPC, CEMC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 99499 Unlisted E/M

    An intra-operative consult will probably not meet documentation guidelines for the consultation codes 99241-45. It's difficult/impossible to get a history from an anesthetized patient. Your examination will be severely limited due to operative field draping.

    I have always used a 99499 Unlisted E/M service for intra-operative consultations.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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