Results 1 to 6 of 6

Surgeon Consult billing?

  1. Question Surgeon Consult billing?
    Medical Coding Books
    Scenario: My doc who is a surgeon gets called to ER to evaluate patient; does exam, determines patient has acute appendicitis, does surgery, patient recovers and is released, billed from hospital as an outpatient.

    My question is this, can I bill for the exam with a 99284,57; since it is an outpatient then the surgery?

    Thanks for any help.


  2. #2
    Columbia, MO
    As long as the documentation supports it then yes, but it is an ER pos for the exam and outpatient for the surgery.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    So then I have to create two separate billings, correct? Thank you so much for the speedy reply!!

  4. #4
    Columbia, MO
    no it can go on the same claim, just two separate lines will have different POS, one will have a 23 and one a 22

    Debra A. Mitchell, MSPH, CPC-H

  5. Default
    Sorry, one more question, would I also put a modifier 25 on it, since he performed a surgery the same day? Thanks!!!

  6. #6
    Columbia, MO
    no the 57 will do fine

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. DX for Surgeon consult:suspected breast lump
    By Cady4217 in forum Diagnosis Coding
    Replies: 2
    Last Post: 07-14-2015, 08:04 AM
  2. Replies: 4
    Last Post: 10-02-2013, 04:18 PM
  3. Billing OV Consult vs Hospital Consult
    By crowemd in forum Auditing General Discussion
    Replies: 1
    Last Post: 02-20-2012, 02:02 PM
  4. ER Consult by General Surgeon
    By Thumper72 in forum General Surgery
    Replies: 3
    Last Post: 01-10-2012, 03:51 PM

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.