April 2000 page 10d
Coding Consultation
Evaluation and Management, 99241 (Q&A)
Question
To report a consultation service, do the requesting physician and the providing physician have to be from different specialty fields (eg, internal medicine and surgery)?
AMA Comment
CPT does not limit the use of the consultation codes according to whether or not the physician providing the consult service is of a different specialty field than the physician requesting the advice or opinion. The guidelines for use of the consultation codes simply indicate that use of these codes requires that one physician is responding to a specific...
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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This short CPT Q&A article addresses a consultation-coding question within Evaluation and Management. It is aimed at coders, billers, and physicians who need to understand the general scope of consultation service reporting and how the guidance applies to physician specialty relationships. The article presents a focused AMA comment on consultation code usage in the context of a specific reporting question.
Why This Topic Matters
Consultation coding questions can affect whether a service is reported correctly within Evaluation and Management. This article is relevant to professionals looking for CPT guidance on consultation services and the circumstances under which they may be reported.
Article Sections
Coding Consultation
Introduces a consultation coding question and the related CPT guidance discussed in the article.
Question
Presents the reporting question that frames the consultation-coding discussion.
AMA Comment
Summarizes the AMA’s general guidance on consultation service reporting within CPT.
What You Will Learn
The general topic addressed by the consultation coding question
How the article frames CPT guidance within Evaluation and Management
The type of reporting issue discussed between requesting and providing physicians
The role of an AMA comment in a CPT Q&A article
Who Should Read This
Medical coders
Billing specialists
Physicians
Coding educators
Practice managers
Codes Discussed
CPT: 99241
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