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Thoracic surgeon provides a 2nd opinion on appropriateness of single bypass procedure as requested by a third- party payer; a detailed history & examination are obtained; MDM is low complexity.

A) Second Opinion or Second Consultation (99272)

B) Initial Inpatient Consultation (99251)

C) Initial Inpatient Consultation (99252)

D) Subsequent Inpatient Consultation (99233)

1 Answer

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Final answer:

The correct answer is A) Second Opinion or Second Consultation (99272), as it aligns with the given scenario where a thoracic surgeon provides an expert second opinion on the necessity of a single bypass procedure with low complexity MDM as requested by a third-party payer.

Step-by-step explanation:

The correct answer to the question about the type of medical service provided by a thoracic surgeon for a second opinion regarding a single bypass procedure is A) Second Opinion or Second Consultation (99272). The CPT code 99272 refers to a second opinion or second consultation when a detailed history and examination are performed and the medical decision making (MDM) is of low complexity. This context typically involves a thoracic surgeon being asked by a third-party payer to provide an expert opinion on the necessity of a proposed treatment. The other codes provided in the options refer to initial and subsequent inpatient consultations, which do not align with the scenario provided. It is important for healthcare providers to document and code correctly to ensure proper billing and authorization of services. Additionally, it is essential for the surgeon, nurse, and anesthesia professional to collaborate and discuss the key concerns for the recovery and care of the patient to ensure a safe and effective treatment plan.

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