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Consult for Pre-op/New Dx Discovered

  1. #1
    Location
    Charm City - Baltimore
    Posts
    103
    Default Consult for Pre-op/New Dx Discovered
    Medical Coding Books
    Good morning -

    I have a patient referred from a GI doctor for pre-op for a colonoscopy. The CC was for clearance. I understand that because the procedure has "0" days, the pre-op is included in the E/M. However, during the exam a new condition (long QT syndrome) was diagnosed. Because of this could it now be charged a consult code?
    Thanks!
    Crystal, CPC, CCS-P

  2. #2
    Location
    Concord, NC or Rochester, NY
    Posts
    154
    Default
    A patient referred for a pre-op clearance is a consult - providing the insurance pays for consults - otherwise a new or established patient. You are not performing the colonoscopy and hence you can bill for your work as a consult.

    If a new problem is discovered, it becomes part of the consult.

  3. #3
    Location
    Charm City - Baltimore
    Posts
    103
    Default
    Thanks!
    Crystal, CPC, CCS-P

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