BC Advantage - 2010 Issue 1

The Death of Consults

Consults or Consultations have pretty much met their demise in 2010.  CPT 99241 through 99245 are some of the most abused and misused codes in the coding inventory.  Per CPT guidelines, "A consultation is a type of service provided by a physician whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician or other appropriate source."  Now, why are these code abused or misused? Some providers have used these codes when meeting with a patient to discuss treatment regimen or pending surgery.  Consultation codes pay more than a...

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