lpick
Contributor
I code for a cardiology practice. If a consult is done by one of my docs and he consults OUR EP doc to come in next day and do consult what do I bill? I know consults for medicare are now initial codes but I am being told to bill a subsequent for EP consult. Is this not fraudulent billing or is it correct to do this? My opinion is to bill a subsequent just to get claim paid is wrong but we all know medicare will not pay 99222 more than once an admission. Also, medicare does not recognize EP as a seperate specialty so the EP doc is considered one of the same as far as specialty goes. Thanks!!