Saturday, July 9, 2011

Billing and Coders: Is this situation ok to bill and code?

SOAP states nothing else but this: "Pt came in for a (1) month flu evaluation. During seeing the doctor, the pt developed seizures and an ambulance was called and took him/her to the near-by hospital for immediate care." Now, I wouldn't think so but, could you code for the seizure or anything else? there is nothing on it. No SOAP normal notes just a similar paragraph on it. If anything I would think the (1) month of flu evaluation would be what you could or would bill for but person who did it before that I am checking has billed for the seizure only. Thank you for your time.

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