Neurology & Pain Management Coding Alert
Extra Time Can Be Part of 99241-99245 Consult Codes
Question: Our neurologist provides pre-op consultations for requesting surgeons. He completed the consult with a recent patient, but also spent quite a bit of time discussing and focusing on some of the patient's health issues. Can we bill that separately as education or counseling (or a problem-focused visit), or is it included in the consult? Illinois Subscriber Answer: Anything discussed as part of a consult is included in that encounter's consultation code. That's one difference between consultations and preventive visits, when you might be able to code separately for discussing "problems." For the consultation code, choose from 99241-99245 (Office consultation for a new or established patient, which requires these three components ...). You can code consultations based purely on time if the physician spends more than 50 percent of his face-to-face time with the patient on counseling or coordination of care. Because of this, the extra time your physician spent discussing the patient's hypertension might allow you to report a higher-level code. Another option depending upon the total amount of time is the prolonged services code(s). The time needs to be at least 30 minutes longer than the time associated with the E/M code.
Neurology & Pain Management Coding Alert
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Extra Time Can Be Part of 99241-99245 Consult Codes
Question:Our neurologist provides pre-op consultations for requesting surgeons. He completed the consult with a recent [...] - Reader Questions:
Yes, You Can List Multiple PQRS Measures
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Point to 64405 for GON Blocks
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Question: We've had increasing problems billing and being paid for the medications we use for [...]
