Evaluation and Management: Consultations (March 2007)

March 2007 page 9 Coding Communication: Evaluation and Management: Consultations Question How many consultations can be reported by a physician providing care to a hospitalized patient during a single admission? AMA Comment The guidelines for Inpatient Consultations state that one consultation should be reported by a consultant per admission. Subsequent services during the same admission, including services to complete the initial consultation, monitor progress, or address a new problem, are reported with the Subsequent Hospital Care codes ( 99231 - 99233 ) or Subsequent Nursing Facility Care codes ( 99307 - 99310 ). Evaluation and Management: Consultations (March 2007)...

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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 AMA/CPT Assistant article explains the scope of consultation reporting during a hospital admission and how later services in the same stay are handled at a high level. It is relevant to coders, compliance staff, and billing professionals working with evaluation and management services, especially inpatient and nursing facility settings. The content focuses on general consultation guidance and references the related E/M code families used for subsequent care.

Why This Topic Matters

Consultation reporting can affect how services are grouped and tracked across a single admission, so this guidance helps readers understand the article’s coverage and the related E/M service categories without exposing the premium details.

What You Will Learn

  • The general reporting framework for consultations during a single admission
  • How the article relates consultations to later services in the same stay
  • Which broader evaluation and management service categories are discussed in connection with follow-up care
  • The type of coding question addressed by the AMA commentary

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Hospital billing staff
  • Practice managers

Codes Discussed

Code Ranges Discussed


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