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Surgeon Consult billing?

  1. Question Surgeon Consult billing?
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    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.

    Sara

  2. #2
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    Columbia, MO
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    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
    Location
    Columbia, MO
    Posts
    12,570
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    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
    Location
    Columbia, MO
    Posts
    12,570
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    no the 57 will do fine

    Debra A. Mitchell, MSPH, CPC-H

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