Does anyone know the cpt code for second opinion? there is not one you use office visit levels. If the second opinion is requested due to a requirement or mandate (example: requiring the second opinion for a disability determination), then modifier -32, Mandated Services, should be added.
If the second opinion is requested due to a requirement or mandate (example: requiring the second opinion for a disability determination), then modifier -32, Mandated Services, should be added. Thank you. You must log in or register to reply here.
Description: Second opinion ordered by a professional review organization (pro) per section 9401 p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance) Description: Documentation of medical reason for not performing foot exam (e.g. patient with bilateral footleg amputation)
The format for ICD-9 diagnoses codes is a decimal placed after the first three characters and two possible add-on characters following: xxx.xx. ICD-9 PCS were used to report procedures for inpatient hospital services from Volume 3, which represent procedures that were done at inpatient hospital facilities.
Once approved, the PCP will notify the member of the date and time of the appointment and forward copies of all relevant records to the consulting provider. The PCP will notify the member of the outcome of the second opinion.
Prestige Health Choice may request a second opinion at its own discretion. This may include, but is not limited to, the following reasons:
A member or the member’s PCP or specialist may request a second opinion for serious medical conditions or elective surgical procedures. The conditions and/or procedures include, but are not limited to, the following:
The 2022 edition of ICD-10-CM Z71.2 became effective on October 1, 2021.
Z71- Persons encountering health services for other counseling and medical advice , not elsewhere classified
The 2022 edition of ICD-10-CM Z71.9 became effective on October 1, 2021.
Z71- Persons encountering health services for other counseling and medical advice , not elsewhere classified