tci ED Coding & Reimbursement Alert - 2018 Issue 2

Reader Question: Evaluate Coding Options for Consults Outside the ED

Question: A hospital attending physician needed our ED physician's opinion on an inpatient's condition, so the physician went to the patient's bedside and gave his assessment. How should we report this? Supercoder.com Subscriber Answer: When an ED physician is called to give his opinion outside of the ED, you may consider billing for an initial consult if all the requirements are met and if the insurer accepts consult codes. Before coding for a consult, remember the three requirements (previously dubbed the three R's): a request in writing in the medical record, a report that is written, and a...

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