I need help coding a consultation for potential adoption of international adoptee from China; no one was present at time of service so there was no vitals, ROS or physical exam. The charge was entered under a current patient’s chart but the patient was not present.
The provider states a consultation can be charged without the patient present since it directly affects the patient’s health. We can used diagnosis code Z02.89 but can the consultation code be charge since the patient was not present?
Thank you for your help,
Gina