If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Patient was seen as a consultation for lung Ca after admit for dyspnea. HPI was detailed, MDM was high, NO PE performed. What level of service could be considered? I'm leaning toward 99233 but would like others opinion.
If the patient has insurance that does not recognize the consultation codes (i.e. Medicare) then I agree with you. Medicare has stated that if history, exam and MDM do not meet the requirements for initial hospital care the provider may bill the appropriate level of subsequent care.