Hi everyone,
I have been asked a question from a doc regarding a consult. And I am not sure of the answer. Perhaps you all can help!
If the physician sees a patient for a consult on a specific condition. The physician sends the plan/advice and the patients condition resolves... but then reappears 4 months later. Technically, it is a new condition but can the physician bill another consult utilizing the same dx code?
My thought is, technically it is correct and the docuemtnation willhave to clearly state another new condition and then it will be denied by insurance and will have to be fought on appeal.
ANy thoughts?
Thanks
MaryBeth
I have been asked a question from a doc regarding a consult. And I am not sure of the answer. Perhaps you all can help!
If the physician sees a patient for a consult on a specific condition. The physician sends the plan/advice and the patients condition resolves... but then reappears 4 months later. Technically, it is a new condition but can the physician bill another consult utilizing the same dx code?
My thought is, technically it is correct and the docuemtnation willhave to clearly state another new condition and then it will be denied by insurance and will have to be fought on appeal.
ANy thoughts?
Thanks
MaryBeth