tci E/M Coding Alert - 2015 Issue 2

Reader Question: Code Interoperative Consult as Inpatient

Question: Doctor A from our office was asked to provide an interoperative consultation by Doctor B. Doctor A didn’t scrub in for a surgical procedure but she did appropriately enter the operation suite to provide the requested consult during the surgery. Is this considered an E/M and if so, which E/M? Minnesota Subscriber Answer: Because this is an inpatient consultation by your physician, you would use the appropriate level from the 99251-99255 (Inpatient consultation for a new or established patient, …) range. The appropriate level depends on the level of the history, examination, medical decision making (MDM)...

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