PA Billing ED Consult

Question:

Can a PA bill a consult if going to the ED at the request of the ED dr for a stroke? Assume this is a non-Medicare patient and the consult code gets paid.

Answer:

Yes, assuming that doing a consult in the ED is within the PA’s scope of practice in your state and the hospital allows the PA to provide this service. That said, some insurance companies have unusual rules that may not allow payment for a PA on a consult code so you’ll want to check on this.

*This response is based on the best information available as of 04/07/22.