Medical Billing Coding - Pre- Op exams? colonoscopy, cpt, codes
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Thread Topic: Pre- Op exams? colonoscopy
Topic Originator: daniel
Post Date October 28, 2007 @ 11:25 AM
Pre- Op exams? colonoscopy

October 28, 2007 @ 11:25 AM Reply  |  Email Friend   |  |Print  |  Top

I currently work for  5 family physicians and a few specialist. One in which is a GI specialist. Whith that  said, Need help with this scenario.

My family physician sees a patient, determines he/she needs a colonoscopy. Referres the patient to the GI doc. But the first visit to the GI doc, is seen by a P.A for a PRE-OP for the colonoscopy. Then the next visit with the GI doc, he does the colooscopy.

Question- Is the visit for the pre-op with the P.A consider a consult or just a regular office visit E/M. My opion is it should be coded as an office visit E/M. My my boss tells me other wise. (lol)

April 5, 2008 @ 4:04 AM Reply  |  Email Friend   |  |Print  |  Top

You should bill w/consultation also ask for report to GI doc.

April 5, 2008 @ 6:45 AM Reply  |  Email Friend   |  |Print  |  Top

This sounds more like a referral, hence your using the word referral. Did your provider send the patient for additional advice or an opinion?

Soiunds like the PA did an initial interview which many people call a consult and they bill the same, when it was nothing more than an initial offfice visit.

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