So to add more confusion to the mix, does anyone know the proper way to code this scenario? Our Hospitalist is asked to evaluate a patient in the ER for admission. He writes the order for admission and asks a specialist- let's say Ortho to evaluate let's say a hip fracture. Ortho decides the patient needs surgery and asks the Hospitalist to do pre-op clearance. I think the Hospitalist should bill an initial hospital visit on day one, and a subsequent for the pre-op clearance if on a separate dos. But what if this is all done on the same dos, would it be appropriate to bill the consult code in place of the initial visit? Of course for those carriers who aren't allowing consult codes it would be the same code either way.
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