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..
One of my Physicians saw a Medicare patient for a consultation prior to a procedure, which was then performed and patient was discharged the same day. Patient was admitted through ER. What code would I use for the consultation?
Since Medicare does not pay for consults you would use the appropriate E/M code (99221-99223 for initial inpatient or 99201-99205/99212-99215 for office or outpatient). If a procedeure was done then you would have to add teh appropriate modifier 57 or 25 depending on the global days assigned to the procedure.