AAPC - Back to school
Results 1 to 2 of 2

Thread: Can this be charged???

  1. #1
    Join Date
    Apr 2007

    Cool Can this be charged???

    AAPC: Back to School
    Here is a situation where a patient calls the office with multiple complaints. He was scheduled to have an A-V fistula created next week. Had lab work done today showing a CR of 5.4. The call is taken by CRNP. She talks to physician, who wants pt admitted to hospital to have placement of temporary hemodialysis catheter then start dialysis.

    Here is the situation, the CRNP dictated a H&P solely on phone conversation & contents of chart. The physician sees pt in hospital, & dictates an addendum to H&P, stating that he examined the pt. "I performed key elements of physical exam, reviewed medications & lab data. I discussed with patient regarding the need for the placement of a temp. catheter for which he agreed. I consulted Vascular Surgeon. Hemodialysis will be performed as per protocol. ESA support will be continued during dialysis."

    I know I can't bill this under the CRNP since she did not see pt. face to face. Is there anyway I can bill this under the physician. I'm thinking NO!!

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Is this ALL he dictated?

    If the statement you quote is ALL he dictated, then I don't think you have enough.

    If he has his own chief complaint and HPI, references the ROS & PFSH from NP note, and documents actual exam, then you might have enough for initial hospital visit. Do you have full access to the entire patient chart? You might want to request it to see if there is additional documentation.

    Good Luck!

    F Tessa Bartels, CPC, CPC-E/M

Similar Threads

  1. 62311 and 64493 can be charged them together?
    By millortsui in forum Anesthesia
    Replies: 3
    Last Post: 03-22-2011, 08:08 AM
  2. 99213 charged with Q0091
    By cmyers75 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 11-18-2010, 09:21 AM
  3. Can a D&C be charged with a Hysteroscopy?
    By khinkle in forum OB/GYN
    Replies: 2
    Last Post: 08-12-2009, 10:25 PM
  4. PT electrodes charged seperately?
    By Cheryl O in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-01-2008, 11:08 AM

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.