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Subsequent hospital visit when doctor performed EEG

Thomas Posted Wed 03rd of October, 2012 18:58:37 PM

My Doctor performs EEG's in the hospital. He performs follow up services for the patient after the inital test was done. Can I bill a f/u visit even though he never billed for a Consult because his first encounter with the patient was the test?
Thank you

SuperCoder Answered Thu 04th of October, 2012 21:46:26 PM

Hi Thomas,

We will get back on this soon.

Thanks

Thomas Posted Fri 16th of November, 2012 17:14:43 PM

Good afternoon, it has been a month since I initially asked this question. Has anyone come up with an answer? Thank you

SuperCoder Answered Mon 19th of November, 2012 02:26:06 AM

Hi Thomas,

We sincerely apologize for the delay. This question was escaped from the database.

There are no follow-up consultation codes in the office so all subsequent visits should be billed as established patient office codes.

However, if an additional request for an opinion or advice regarding the same or a new problem is received from the attending physician and documented in the medical record, the office consultation codes may be used.

Thomas Posted Mon 19th of November, 2012 15:39:56 PM

This would be still as inpatient services. EX: Doctor performs EEG on 10/21/12, goes back on 10/22/12 to follow up with patient. There are no chart notes indicating initial consult was done on 10/21/12, just the EEG. But on 10/22/12 there are notes indicating a follow up visit. Can I bill the subsequent visit code even though there was not an initial consult?
Thank you

SuperCoder Answered Mon 19th of November, 2012 17:53:34 PM

Yes,All physicians will report subsequent visit codes (99231-99233, Subsequent hospital care, per day, for the evaluation and management of a patient …) for follow-up inpatient care.

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