tci General Surgery Coding Alert - 2005 Issue 4

Reader Questions: Same Stay = Follow-up Consult

Question: Our surgeon was called for an inpatient consult with an auto vehicle accident patient. The patient was discharged and then admitted again five days later by yet another physician. The second admitting physician also called our surgeon for another consult with this same patient. Should we charge for a follow-up consultation for the second visit or should we charge for another inpatient consult?Florida subscriber Answer: You should report an inpatient consultation code (99251-99255) if the surgeon provides an initial consultation during a different hospital admission.In contrast, use a follow-up consultation code (99261-99263) when the surgeon provides...

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