Medical Billing Forum
Coding => Coding => : Punkie53 September 05, 2008, 11:33:10 AM
-
Do I bill as consult or established patient for a request for second opinion by patient to a partner in the same practice? Patient is currently receiving chemo therapy but has requested a second opinion now. I believe it should be billed as an established patient but I'm not sure.
-
That's a tough one. Many insurances only allow 1 consult in a certain time frame for the same condition so if you bill it as a consult it may get denied. Also, since the patient is already with your group, it probably won't be quite as involved for the Dr. I think I would go with billing it as an established patient as well.
Michele