tci General Surgery Coding Alert - 2004 Issue 2

Reader Question: Bill On-Call Visits as 'Established'

Question: Our physician is "on-call" for another surgeon. If he sees one of the surgeon's established patients for the first time, should we report a new or established patient visit?Michigan Subscriber Answer: If an on-call surgeon visits a patient for a related problem during a postsurgical global period, you may not charge for any services. To recoup some reimbursement for such visits, you will have to work out a payment arrangement with the physician you are covering for, or trade services on a quid-pro-quo basis. For cases not involving postoperative care, you may be tempted to report...

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