tci General Surgery Coding Alert - 2007 Issue 2

YOU BE THE CODER: Can You 'Share' a Consult?

Question: I know that a nonphysician practitioner  and a surgeon can -share- an E/M visit, with the nurse, for instance, taking the history and performing some preliminary work and then handing off the patient to the surgeon for the exam. Although I have not seen anything in writing, I have heard that this practice is unacceptable for consultation services. Is this true?New Jersey Subscriber Answer: Coding experts and CMS regulations agree: You cannot bill consults as -shared visits.-Specifically, the CMS definition of a shared visit says the service must follow all the rules of an -incident-to- office...

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