BMT Consult Coding Question

[Guest guest]

Good morning,

I have a question for pediatric BMT TFCs. Is there a code that our MD can use

for a consult (over 2 hours) w/ a patient's parents? The patient was not able to

be in the room with our MD while he was consulting the parents on BMT transplant

and he wants to know is it ok to charge the patient's insurance (Medicaid) for

the consult when the patient wasn't in the room. Or is there some other type of

consult code other than the typical ones that he needs to charge?

Thanks in advance for any help available!!

Leah

Transplant Reimbursement Associate

CMC

[Guest guest]

Dear Leah,

There are 2 codes on our super bill for w/o direct contact 99358

for the 1st hour and 99359 for each addt’l hour but I would

still check your M’Caid fee schedule.

Dorinda

Dorinda S. Frye, Auth Rep

Hema/Onc, Infusion, BMT

Akron Children's Hospital

One Perkins Square

Akron, OH 44308

office

fax

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of lmk276

Sent: Tuesday, February 07, 2012 8:06 AM

To: TxFinancialCoordinators

Subject: BMT Consult Coding Question

Good morning,

I have a question for pediatric BMT TFCs. Is there a code that our MD can use

for a consult (over 2 hours) w/ a patient's parents? The patient was not able

to be in the room with our MD while he was consulting the parents on BMT

transplant and he wants to know is it ok to charge the patient's insurance

(Medicaid) for the consult when the patient wasn't in the room. Or is there some

other type of consult code other than the typical ones that he needs to charge?

Thanks in advance for any help available!!

Leah

Transplant Reimbursement Associate

CMC

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