Hi Everyone: 

  I am working both general OP and Inpt Nephrology and doing Procedures in the hospital.  I've seen that the Vascular Surgeons do a Consult on the patients they get asked to do procedures and obviously do a separate procedure note. This is an opportunity to bill for 2 services and it actually is useful so one gets to know the patients and anticipate particular issues and avoid complications, i.e. having had a device in the past on either neck, sensitivities to moderate sedation , review labs etc 

  However If they place a consult for me - not my own patient I'm rounding on - I don't think there can be 2 nephrology inpatient consults, and I wouldn't think that we can do a consult as Vascular Surgery as we are Not.  so the Question: 

  a) Is there a code for Interventional Nephrology inpatient or for that matter outpatient consultations ? 

  b) Is there anyone else facing this issue and how are you addressing it ? 

Thanks 

Fernando