Clear consult guidelines lacking; small clarification may help

Article Overview

This article discusses the ongoing lack of clear guidance for physician consultation billing under CPT and Medicare policy, including CMS correspondence, specialty society requests for clarification, and the difference between consultation scenarios and other shared-care arrangements. It is relevant to physicians, coders, compliance staff, and practice managers who follow billing policy updates and documentation requirements. The article also addresses the operational impact of delayed clarification on specialty practices and the organizations involved in seeking policy changes.