BC Advantage - 2017 Issue 3

Consultation or Transfer of Care, What are the Differences?

According to 2017 Current Procedural Terminology (CPT), a Consultation is a type of E&M service provided by a physician at the request of another physician or other appropriate source to either recommend care for a specific condition or problem or to determine whether to accept responsibility for ongoing management of the patient's entire care or for the care of a specific condition or problem. Consultations can be requested by a physician or other appropriate source (non physician practitioner, lawyer, or insurance company). Some third-party payers may restrict which "appropriate sources" are allowed to initiate a request for E&...

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