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Posted By Sandra on 11-03-2005, 13:40:00 in Urology
MY DR. DID AN INTRAOPERATIVE CONSULT FOR A SURGEON DOING REPAIR ON ADB. AORTIC ANEURYSM. HE THOUGHT HE HAD FOUND URETER IN RIGHT RENAL ARTERY. MY DOCTOR WENT TO OR URGENTLY AND EXAMINED PT, HAD AN IVP DONE AND DETERMINED IT WAS NOT A URETER. HE SPENT ABOUT 40MINS IN OR. HE IS NOT SURE WHAT LEVEL OF CONSULT TO BILL SINCE HE WAS UNABLE TO DOCUMENT ANY H & P FROM PT. I TOLD HIM TO DICTATE HX HE RECEIVED FROM SURGEON AND CODE APPROPIATE LEVEL OF INPT CONSULT. IS THIS RIGHT?
Comments (5)
Posted By Ann on 11-04-2005, 19:28:00
I was looking back at some notes I had from a meeting I went to (March
2005) - Judith Jarratt from TrailBlazer was there speaking and one of
the questions I asked was about this same problem. She stated to make
sure the doctor "documents time spent looking" for the suspected
problem, charge according to the time spent and any hx from the other
physician using the V71.89 or V71.9 if no condition is found. I know
Medicare does not like the V codes, so I would send op notes on appeal
if they deny.
Posted By cindi on 11-04-2005, 13:50:00
I would think this would fall under "obtaining history from someone other than the patient" or "discussion of case with another health care professional". This would add to the complexity. Your physician needs to state that history/ROS was obtained from the other physician, but dictate all he learned from him. As far as the exam goes, he would just need to dictate his exam and findings. You would choose the level according to the contents of his dictated report. Use the inpatient consult codes.

Cindi
Posted By DBERTRAND on 11-03-2005, 18:56:00
I
I WOULD USE THE TIME SPENT WITH THE PT TO CHOOSE A LEVEL OF SERVICE.
DONNA
Posted By Christy on 11-03-2005, 17:36:00
I don't know how you would get higher than a level one?
Posted By Sandra on 11-03-2005, 16:52:00
ANY TAKERS ON THE INTRAOPERATIVE CONSULT QUESTION? THANKS
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