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...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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