Tonyj
True Blue
Physician was called in for a GYN consult during surgery for carcinomatous polyp of the colon. Physician is billing a 99221.
My question, Is this billable at all?
Physician documentation:
REASON FOR CONSULTATION: The patient is a 64-year-old woman brought to the operating room by Dr. X for carcinomatous polyp involving the colon.
I was called to the operating room by Dr. X to examine the right adnexa which was adherent to the sigmoid colon near the area of inking. When I arrived in the operating room, laparotomy had already been performed. The ovary had been dissected free of the colon by Dr. X. I examined the ovary and applied some cautery for hemostasis. Decision was made at that time to leave the ovary in situ as there was no evidence of gross disease involving the ovary. The ovary appeared normal for a postmenopausal woman. There appeared to be no medical indication to remove said organ.
Postoperative pathology is pending.
My question, Is this billable at all?
Physician documentation:
REASON FOR CONSULTATION: The patient is a 64-year-old woman brought to the operating room by Dr. X for carcinomatous polyp involving the colon.
I was called to the operating room by Dr. X to examine the right adnexa which was adherent to the sigmoid colon near the area of inking. When I arrived in the operating room, laparotomy had already been performed. The ovary had been dissected free of the colon by Dr. X. I examined the ovary and applied some cautery for hemostasis. Decision was made at that time to leave the ovary in situ as there was no evidence of gross disease involving the ovary. The ovary appeared normal for a postmenopausal woman. There appeared to be no medical indication to remove said organ.
Postoperative pathology is pending.