1. Kasandra Smith
   Posted 4 months ago #
   

   Would I just bill for a consult? I do not think there is a separate procedure code for what the physician did.

   Called to OR for consult by Dr. XX for a postpartum hemorrhage patient, she had already done a uterine exploration (empty), currettage (empty), oxytocin, hemabate and cytotec with continued atony. Exam by myself revealed atony with bleeding from inside the uterus and not the cervix or vagina, intrauterine exam felt no retained POC. Bakari ballon inserted and inflated with 350cc NaCL with good hemostasis, vagina packed with 2 packs. Ultrasound by me revealed balloon in uterus.

2. SuperCoder
   Posted 4 months ago #
   

   While there is no specific code for an intra-operative consult, one can bill a consultation code if the criteria are met. Either the inpatient or outpatient consultation codes can be used, depending on patient status at the time of the operation. Remember that a consultation requires the following:
   *
   The consulting physician's opinion or advice in the treatment of the patient must be requested.
   The request, visit, and findings and recommendations must be documented by the consulting physician.
   The findings and recommendations must be communicated to the requesting physician in writing.
   *
   The operative patient often will have a shared medical record, in which case documentation of the request should be noted in the shared record as well as the findings and recommendations of the consultant physician. Because the record is shared, a separate letter need not be generated for the requesting physician. The standard rules regarding history, physical examination, and medical decision making or time apply to determine what level of service is reported.

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