When you can bill a consult

Why This Topic Matters

Determining whether a visit qualifies as a consultation affects claim selection, documentation, and compliance. Readers can use the article to better recognize the kinds of referral relationships and report language that may be relevant when evaluating consult billing.

Article Sections

1. Cardiology referral scenario: chest pain and follow-up management

   A referral example involving a cardiology evaluation for chest pain and subsequent follow-up by the primary care physician. The section focuses on the broader consult context and the documentation elements discussed in the scenario.

2. Cardiology referral scenario: atrial fibrillation and treatment discussion

   A second cardiology example centered on evaluation of atrial fibrillation and discussion of treatment options. The section emphasizes the consult request and the general documentation themes highlighted by the author.

3. Oncology referral scenario: breast cancer evaluation

   An oncology example involving evaluation of breast cancer and a reported opinion returned to the referring clinician. The section covers the consult-billing context and the role of the written report.