Wiki coding for an established patient

[poyersaug]

If an established Medicare patient who was being for treated by our general surgeon for breast problems, comes in and the surgeon see's the patient for venous insufficiency, can a new consult code be billed

 

[hmagao]

only if another physician sent the patient back to the surgeon. With office notes and all pt information. However, check Medicare rules, if I am not mistaken, Medicare does not honor consult codes.

 

[dclark7]

Medicare does not pay for consults (neither do Medicare Advantage Plans) so you would have to bill an esablished patient code.