Wiki Consult Question-I have an

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MikeVee

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I have an ID consult as a client. She sometimes sees patients in critical care as well. I have two questions for anyone with experience billing consults.

1. If she does a critical care consult, do I put the code for initial/established patient and the critical care code, or do I only put the critical care code?

2. Do I need to put the referring doctor in order for the claim to be properly processed?

Thanks!
 
You need to read the requirements for using critical care codes. Just because a patient is housed in the ICU unit does not warrant the usage of the critical care codes. Use the est or new payient encounter codes and yes with a referring physician info.
 
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