Interprofessional Consult Services

by  Namas
March 27th, 2020

The recent coronavirus crisis has brought non-face-to-face services to the forefront of coding and billing conversations. With the entire healthcare industry focused on caring for patients during an unprecedented and fast-moving pandemic, the goal of increasing patient access while reducing the risk of spreading infection has become paramount.

In this climate, non-face-to-face services are poised to flourish. In this tip, we will examine a relatively new code series, introduced in 2019, called interprofessional telephone/Internet assessment and management service.
These services represent an electronic discussion between a patient's treating (e.g., attending or primary) physician and another physician with specific specialty expertise (i.e. the consultant). The purpose of this interprofessional encounter is for the consultant to assist the treating physician or other qualified healthcare provider in the diagnosis and/or management of the patient's problem without patient face-to-face contact with the consultant. The patient is not involved in this service beyond giving verbal consent. CMS will allow verbal consent to be collected once annually starting in 2020, for interprofessional consults and other communications technology-based services (CTBS). Alternatively, the provider may obtain verbal consent at each encounter and document that consent for each encounter. These services are subject to the following requirements per CPT:
Interprofessional Online Consults Coding
Coding and Documentation Advice
 
Remember to document patient's verbal consent, either per consultation in the medical record, or by obtaining an annual CTSB consent using a standard consent form, modified to indicate it is for communications through technology services. Because these are time-based codes, ensure the provider documents the total service time and that they also distinguish between discussion and review time. Discussion time refers to a conversation between the consulting and requesting providers. Review time refers to time spent by the consulting provider on reviewing all applicable records and data.

References:

Interprofessional Consult Services. (2020, March 27). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/interprofessional-consult-services-36560.html

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