AMA CPT® Assistant - 1999 Issue 6 (June)
Evaluation and Management (Q&A) (June 1999)
June 1999 page 10e Coding Consultation Evaluation and Management (Q&A) Question Is it appropriate to use a consultation code when a consultation is performed in the same specialty and same group practice? For example, one of our orthopedic surgeons requested a consultation from another one of our orthopedic surgeons. Both orthopedic physicians belong to the same group practice. AMA Comment It would be appropriate to report a consultation code when a consultation service between the same specialty and same group practice is performed, only if the requirements for a consultative service are met as described in CPT. That...
Subscribe or sign in to view the full article.
Article Overview
This article covers a consultation coding question in the Evaluation and Management area of CPT and explains the general documentation and communication elements discussed by the AMA comment. It is intended for coders, billers, and clinical practices that need to understand how consultation services are discussed in the context of group practice and specialty relationships.
Why This Topic Matters
Consultation reporting can affect claim accuracy and compliance in physician practices. This short Q&A helps readers understand the scope of CPT consultation guidance discussed by the AMA for a common practice scenario.
What You Will Learn
- How a consultation question is framed in an Evaluation and Management Q&A format
- What general documentation elements are discussed in relation to consultative services
- How the article situates consultation reporting within CPT guidance and group practice context
- Which professional audience the AMA comment is meant to inform
Who Should Read This
- Medical coders
- Physician office staff
- Billing professionals
- Orthopedic practices
- Compliance staff
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
