SMS Posted Wed 08th of April, 2015 12:17:57 PM
If our physician dictates a consult note for a patient and states no lab results due to the results not being back when he dicated the note, Can we look up the labs and use the results for coding that dictation? Would it matter if he ordered the labs? We code for the physician, not the facility.
SuperCoder Answered Thu 09th of April, 2015 02:22:39 AM
Kindly elaborate your question, as i am not been able to understand whether you asking for lab services (pathology codes) or lab report reviewing in consultation services. If it is for E/M service, yes, you can review the lab report later and report the appropriate level of E/M service including the point of ordering/reviewing lab services. But if it is for billing Laboratory and pathology codes, No, you cannot bill for it, as lab services were just ordered that time but not reviewed the result.
SMS Posted Thu 09th of April, 2015 10:36:21 AM
It would be for the E/M service.
SuperCoder Answered Fri 10th of April, 2015 00:37:19 AM
yes, you can review the lab report later and report the appropriate level of E/M service including the point of ordering/reviewing lab services. Do not forget to attach the report.