Evaluation and Management (November 2001)

November 2001 page 11 Coding Consultation Evaluation and Management, 99261-99263 (Q&A) Question Is it okay to report two consultation codes when a consultation is performed by two physicians of the same specialty and same group practice (eg, two orthopedic surgeons in the same group practice) on the same date of service? AMA Comment Each physician may report a separate consultation code as long as each encounter meets the requirements for a consultative service. For each consultation, the written or verbal request for a consult may be made by a physician or other appropriate source and documented in the...

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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 premium article explains evaluation and management consultation coding guidance published in AMA CPT Assistant. It is aimed at coders, billers, compliance staff, and clinicians who need to understand how consultation services are documented and reported in specific physician-to-physician care scenarios. The article covers when consultation reporting may be appropriate, how follow-up inpatient consultation situations are discussed, and the general documentation themes tied to consultative services.

Why This Topic Matters

Consultation reporting can affect accurate E/M selection, documentation expectations, and how services are represented in the medical record. This article helps readers understand the scope of AMA guidance on consultation-related reporting issues.

Article Sections

  1. Coding Consultation

    This section presents Q&A guidance on consultation-related evaluation and management reporting. It focuses on physician consultation scenarios and documentation themes.

What You Will Learn

  • How the article frames consultation-related evaluation and management topics
  • What kinds of physician consultation situations are discussed
  • What documentation themes are associated with consultative services
  • How follow-up inpatient consultation topics are addressed at a high level

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physicians
  • Practice managers

Codes Discussed

Code Ranges Discussed


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