Cardiology Coding Alert
Reader Question ~ Face-to-Face is a Must for Medicare
Question: What is the best way to code for a family consult when the patient is not present (no face-to-face contact)? The patient is a nursing home patient who our cardiologist saw, and the family wants to come in to discuss the best care. Answer: If this is a Medicare patient, you will not be able to charge for this consultation. Medicare only pays when the patient is present, and you won't find any way around this.
South Carolina Subscriber
You can bill the family for the visit, or you can have the family present at the nursing home with the patient in the room when the physician performs the consult. This would not be a coding "consultation" but rather a nursing home visit (99334-99337). The important thing in this situation is that the physician has face-to-face contact and evaluates the patient along with discussing treatment options with the family.
Cardiology Coding Alert
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