KaylaRieken
True Blue
My urologist was asked to see a patient in the NICU who had a circ an hour prior. Do I bill 99477 or how do I bill for this?
My urologist was asked to see a patient in the NICU who had a circ an hour prior. Do I bill 99477 or how do I bill for this?
He did not perform the surgery. He was just there for a consult. It was not critical care.
I have not heard of this practice. Do you know what the rationale is for coding consults this way?So when I started at my job, we have always used subsequent hospital codes for inpatients instead of consult codes. Has anyone heard of this or is anyone else doing this?
Do you guys know what insurance companies do not pay for consult visits?
Can you bill for the initial even if your own doctor wasn't the admitting doctor?
For inpatient you can use 99221 - 99223 for initial visits or consults, as the admitting MD will use modifier AI with his/her initial. As far as OPPS only the admiting MD can use 99218 - 99220. You would have to use 99201-99205, 99241-99245. For subsequent visits you use 99212-99215 for OPPS.Can you bill for the initial even if your own doctor wasn't the admitting doctor?