CPT 2007: Can a school nurse request consults?

Why This Topic Matters

Consultation billing can be denied if request source, documentation, or follow-up coding is handled incorrectly. Understanding the 2007 CPT language helps practices assess when consultation reporting may still apply and when other visit categories are more appropriate.

Article Sections

1. CPT 2007 consultation request guidance

   Introduces the updated CPT consultation framework and the issue of requests coming from school nurses. Discusses the general category of sources referenced in the guidance.

2. Examples, documentation, and billing considerations

   Covers the documentation expectations for consultation requests and responses, including how the request is recorded. Also addresses related billing considerations for consultation follow-up and subsequent care.

3. Inpatient consultation limits and follow-up care

   Summarizes the inpatient consultation rule for a single consultation per admission and the shift to later hospital or nursing facility follow-up services. Notes the 2007 removal of a term from the inpatient consultation code set.