Results 1 to 2 of 2

second opinion visits

  1. #1
    Prescott, AZ
    Question second opinion visits
    Medical Coding Books
    We have a new physician in our group who would like to do second opinion office visits. He would like to offer patients of other physicians in our community 2nd opinions on their health status. I'm not quite sure what to do with this idea??? I reminded him that consultations are no longer paid, by Medicare (which is his target audience) and he said no, this would be offered as a second opinion visit. As I understand it, patients would see him as a one time visit to be evaluated and re-assured that their PCP has diagnosed and is treating them appropriately; advise would be given as to any other treatment that might be appropriate for their health conditions.

    Is this anything that can be done? How to code? As New Patient 99201-205? Any thoughts or suggestions would be greatly appreciated!!!
    Thank you!
    Tracy L. Wood, CPC

  2. #2
    Columbia, MO
    Most payers will not pay for second opinions unless they are mandated due to the procedure being scheduled or for some other reason, just for a patient to seek out a second opinion is usually a patient responsibility.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. office visits vs outpatient visits
    By Hernf in forum Outpatient Facilities
    Replies: 2
    Last Post: 08-26-2015, 06:15 AM
  2. Post op visits vs. chargable visits
    By conniecoder in forum Billing/Reimbursement
    Replies: 0
    Last Post: 06-26-2012, 08:22 AM
  3. Crosswalking new pt visits to estab visits
    By LBJ in forum Compliance General Discussion
    Replies: 1
    Last Post: 08-10-2011, 04:59 PM
  4. Replies: 1
    Last Post: 07-18-2011, 10:25 AM
  5. Yearly visits and E&M visits New Patient
    By jlv1980 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-12-2009, 07:38 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.