Evaluation and Management Services: Consultations (January 2006)

January 2006 page 46b Consultations, 99241 (Q&A) Question The guidelines for reporting of consultations state that the written or verbal request for a consult may be made by a physician or other appropriate source. Who may be considered an "other appropriate source"? AMA Comment CPT coding guidelines do not set restrictions regarding individuals who may be considered an "other appropriate source." Some examples of these sources may include the following: physician assistant, nurse practitioner, doctor of chiropractic, physical therapist, occupational therapist, speech-language therapist, psychologist, social worker, lawyer, or insurance company. Consultations, 99241 (Q&A). CPT® Assistant. 2006...

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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 article addresses a January 2006 CPT Assistant question related to evaluation and management consultations. It is relevant to coders and billing staff who work with CPT consultation reporting guidance and want to understand the general scope of acceptable request sources discussed in the article.

Why This Topic Matters

Consultation reporting often depends on understanding the documentation and source-of-request framework referenced in CPT guidance. This article provides a focused clarification that may help users recognize the broader category of parties discussed in consultation-related questions.

What You Will Learn

  • How the article frames a consultation reporting question in the CPT context.
  • What general type of issue is being clarified regarding request sources for consultations.
  • Which broad categories of professionals or entities are discussed in the guidance.
  • How the January 2006 CPT Assistant format presents consultation-related Q&A content.

Who Should Read This

  • Medical coders
  • Billing specialists
  • Compliance staff
  • Physician office staff
  • Revenue cycle professionals

Codes Discussed


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