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Re: US docs only. Telephone consultsFrom: Garry Siegel (garrys@mindspring.com)Sun Feb 25 16:04:36 2001
At Sun, 25 Feb 2001, Douglas Krell wrote: > >Thanks for everyonone's opinions...even Efrain's. I agree that while >billing for phone time >sounds like a logical idea, there are simply too many hurdles to make it a >routine practice at this time. >And while CPT codes exist for physician phone calls, billing them out under >office visit codes >is impossible since standard E/M codes are formulated with the idea that a >face to face encounter and some >physical exam has taken place. > >-- >Douglas Krell MD > Doug: I believe that you can use an E/M code for an office visit in which you just talk and don't do a physical exam. I don't have a CPT book handy, but what my staff would call a "consult"--like a woman coming in to talk about menopause, or infertility--isn't a consult in the CPT sense. I believe it is an E/M visit billed by time, since the physical exam component is not done. Why would this occur? How about the woman who comes in for an annual, and by the way, I've not gotten pregnant for two years. It is perfectly reasonable for her to come back at another time to discuss this, and for you to bill for the service rendered (I'm ignoring whether infertility is covered by her carrier in this example). If others have a different take, or if I'm wrong, please say so. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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