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Thread: Consult billed under pa

  1. #1

    Default Consult billed under pa

    AAPC: Back to School
    Just checking to see if you can use the consult codes ie... 99244 and bill under the PA? situation is this... pt is referred for cardiothoracic issues... see the Dr. in consult and then the PA does a full H&P on the same date of service as the decission for surgery has been made. I would just bill for a high level consult under the Dr. for this... but we have someone else billing the consult under the PA??? Help...

  2. #2
    Join Date
    Apr 2007
    Idaho Falls, Idaho


    The minute you assume care of that patient (follow ups etc) you can no longer bill consultation codes. So, if the DR saw the pt, and in the documentation states to "follow up with me in two weeks." or does surgery, you cannot bill a consult.
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

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