decisionhealth Newsletters, Part B News - 2007 Issue 2 (February)
AMA panel passes on chance to make sense of consult rules
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Article Overview
This article reviews an AMA CPT Editorial Panel discussion about proposed changes to consultation-related guidance in the CPT coding book. It explains that debate centered on how to clarify consultation reporting in light of broader payment and policy concerns, and why the issue was postponed rather than resolved. The piece is relevant to coding professionals, physician practices, and others following CPT editorial activity and E/M policy changes.
Why This Topic Matters
Consultation coding has long been affected by evolving CPT guidance, payer policy, and federal coverage interpretations. This article matters because it tracks a pending editorial decision that could influence how consult-related services are described in future CPT guidance.
What You Will Learn
- What the AMA CPT Editorial Panel was discussing regarding consultation guidance
- Why consultation policy changes were difficult to resolve at that meeting
- How payer and CMS-related concerns were influencing the discussion
- Which broader E/M and CPT policy issues were tied to the consultation debate
Who Should Read This
- Medical coders
- Coding auditors
- Physician billing staff
- Revenue cycle professionals
- Healthcare compliance staff
- Physicians and group practices
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