decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
CPT 2007: Can school nurses request consults?
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Article Overview
This article reviews CPT 2007 consultation guidance with a focus on who may request a consult, how school nurse requests are viewed, and how related office, inpatient, hospital, and nursing facility visits are discussed in the consultation framework. It is relevant to pediatric coders, physicians, and compliance staff who need to understand the article’s high-level interpretation of consultation-related CPT changes and documentation expectations.
Why This Topic Matters
The article addresses a practical coding question that affects whether a service is treated as a consultation or another type of visit, especially in pediatrics and school-based settings. It also highlights consultation documentation and subsequent-service coding topics that can affect claim accuracy.
Article Sections
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CPT 2007 consultation request sources
Discusses the updated consultation framework in CPT 2007 and the types of request sources referenced in the introductory language.
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School nurse requests in pediatric practice
Addresses how school nurse requests are discussed in the context of pediatric consultations and related visit categories.
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Documentation and communication requirements
Summarizes the article’s discussion of consultation documentation and communication expectations, including the form of the request.
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Single inpatient consultation and follow-up coding
Covers the article’s discussion of inpatient consultation limitations and the general handling of later services in hospital and nursing facility settings.
What You Will Learn
- How the article frames consultation request sources in CPT 2007
- How school nurse-initiated requests are discussed in relation to consultation billing
- What broad documentation and communication topics are associated with consultations
- How the article addresses inpatient consultation limits and subsequent visit coding categories
Who Should Read This
- Pediatricians
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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