Medical Billing Forum
Coding => Coding => : suzyd August 08, 2012, 02:10:20 PM
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Am not clear how to bill a consult by my gastroenterologist for a commericial insurance when the patient is admitted for observation
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Do you mean as far as what POS?
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No more which cpt codes to use. Do I use outpatient consult codes or outpatient E & M as I do for medicare
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I wouldn't be able to tell you which CPT code to use based on what you've said. The provider needs to tell you whether they did a visit, or a consultation. If the place of service is in a hospital then you wouldn't use the outpatient E&M, you would have to use hospital codes. However, take note that Medicare no longer reimburses for consultation codes.