tci General Surgery Coding Alert - 2008 Issue 1

Reader Question: 'Major' Global Begins 1 Day Prior to Procedure

Question: Our surgeon provided a consultation to evaluate a patient for acute right-upper quadrant pain and tenderness. Based on the evaluation, the surgeon scheduled the patient for laparoscopic cholecystectomy for the following day. I reported the consultation code (99243) along with the lap chole code (47562). Documentation supported using the consultation code by clearly showing a request and reason for the consult -- and the surgeon provided a written report of his findings to the requesting physician -- but the payer denied the E/M service. Did I miss something? Georgia Subscriber Answer: If documentation clearly supported using a consultation...

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