tci General Surgery Coding Alert - 2019 Issue 6

Reader Question:Hospital Admission Leads Consult Code Choice

Question: Our surgeon saw a non-Medicare patient in the office for a consultation, and then later the same day, the referring physician admitted the patient to the hospital and asked the surgeon to consult with the patient again. Should I should code an office consultation or an inpatient consultation or both? Texas Subscriber Answer:  You should report an inpatient consultation with a code from the range 99251 (Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making) through 99255 (… A...

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