Gemini18
Expert
I have a physician who is billing a consult in the ER. Pt came into the Convenience Care Centre and was sent over to ER with chest pain. There is no request for consult nor does the H&P state "I was asked/called to consult".
Physician does document he spoke with a cardiologist who will do a stress test in the morning. Pt was given Lopressor until she is ruled out. Physician spoke with patient and family regarding dx, tx and planning. "Further diagnostic and management plan as the patient's clincial course and consultants input. The patient will be discharged home once cleared by cardiology".
Is this a consult or ER visit? It was billed as a 99244.
HPI - extended
ROS - Extended
HX - Complete
Exam - Comprehensive
MDM - High
Physician does document he spoke with a cardiologist who will do a stress test in the morning. Pt was given Lopressor until she is ruled out. Physician spoke with patient and family regarding dx, tx and planning. "Further diagnostic and management plan as the patient's clincial course and consultants input. The patient will be discharged home once cleared by cardiology".
Is this a consult or ER visit? It was billed as a 99244.
HPI - extended
ROS - Extended
HX - Complete
Exam - Comprehensive
MDM - High