decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
More changes on the way in 2007 for consult codes
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Article Overview
This article explains upcoming CPT changes for 2007 involving inpatient consultation codes and the related consultation-request guidance. It is aimed at coders, billers, compliance staff, and clinical documentation professionals who need to understand how the CPT manual’s wording and supporting guidance are changing, along with how Medicare carrier policies may differ.
Why This Topic Matters
The topic matters because consultation coding rules and request-source guidance can affect claim reporting, documentation review, and payer-specific compliance practices. It also highlights that federal and local payer policies may not align with CPT guidance.
What You Will Learn
- How CPT is changing inpatient consultation code wording for 2007
- How consultation reporting is limited during the same admission
- What broad categories of entities may be considered appropriate sources for a consultation request
- How payer or carrier policy can affect consultation-request acceptance
Who Should Read This
- Medical coders
- Billing professionals
- Compliance staff
- Physician practice managers
- Clinical documentation specialists
Codes Discussed
Code Ranges Discussed
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