Neurology & Pain Management Coding Alert
Co-Management May Warrant Consult
Question: Can I report a consultation if the neurologist co-manages a patient's care? Answer: Depending on your level of co-management, you should be able to report a consultation for your physician's services. For example, if the neurologist performs an initial consultation for a stroke patient and then co-manages her rehabilitation with a physical therapist, you can report a consultation for your first visit. Thereafter, you should report the subsequent office visit codes (99211-99215) when you evaluate the patient in your office.
South Carolina Subscriber
Remember that you can only report a consultation code (99241-99245 for outpatients, 99251-99255 for inpatients) if the service meets all of the requirements. This means that you must maintain documentation of the request for your opinion, notes from your patient examination, and a copy of the written report that you sent to the requesting physician.
Neurology & Pain Management Coding Alert
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Appending modifier -25 (Significant, separately identifiable evaluation and management service by the same physician on [...] - Reader Question:
Report 64612 for Blepharospasm Injections
Question: How should I code for Botox injections to control blepharospasm?
Idaho Subscriber Answer: For chemodenervation [...] - Reader Question:
Report 92950 for Resuscitation
Question: Our neurologist was making rounds at the hospital today when he responded to a [...] - Reader Question:
Hypertension Contributes to Management
Question: Our neurologist works with many diabetic and stroke patients, and I understand the need [...] - Reader Question:
Co-Management May Warrant Consult
Question: Can I report a consultation if the neurologist co-manages a patient's care?
South Carolina Subscriber [...] - Reader Question:
Z-Joint Equals Facet Joint
Question: Our neurologist documented a "z-joint injection," but we couldn't find a code for this. [...] - Reader Questions:
Use Outpatient Codes for ED Visits
Question: Our neurologist was recently on-call for an emergency department. The ED physician asked for [...]
