Forum - Questions & Answers

Oct 23rd, 2009 - jdinkins

Consults

Is there a limit of how many consults a specialist can bill for the same patient within a certain period of time as long as the visit meets the consult guidelines and the specialist is called in by the primary care for a different diagnosis? In other words, can a specialist bill a consult in January and another consult in August for the same patient but with different diagnoses?

Oct 23rd, 2009 - nmaguire   2,606 

consults

If criteria is met and medically necessary, yes another consult can be billed. Medicaid in certain states may have restrictions.



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