Wiki Vasectomy Consults

Create Wiki
M

mg65

Guest
Messages
11
Best answers
0
My Dr.s bill all vas consults a 99202.

This is a specific example from the CPT, appendix C, for a urology 99203 encounter.

“Initial office visit with couple for counseling concerning voluntary vasectomy for sterility. Spent 30 minutes discussing procedure, risk and benefits, and answering questions.”

Is there anyone who bills level three for vas consults with the above parameters met?

One of my Dr.s say time doesn't matter, that it'll never hold up to a RAC.

Anyone have experiences either way with this?

Thanks!
 
vasectomy consult

If this is a medicare claim, which would be strange considering the procedure, I woud not bill 99203. But if this is a BC/BS or commercial ins., I would consider the time as a measure of the level of the E&M. If this is Medicaid and the doctor spent the time, I would also feel comfortable with a 99203--since the doctor has to review any preop workup needed. Hope this answers your question.
 
You must log in or register to reply here.
Top