tci E/M Coding Alert - 2014 Issue 3

Reader Question: Reporting Physician Procedure Subspecialty Avoids Denial

Question: We are in a large GI group all under the same tax ID.  One of our physicians does procedures that none of the other GIs in our group are able to do.  The scenario is: Another GI sees a patient in the hospital and decides that he needs one of these procedures that only one physician does and they call him in to consult.  He sees the patient to determine that she indeed needs this procedure, does a complete work up, and then bills a consult on the same day the other physician is billing...

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