Proceed with caution when billing a second consult

Article Overview

This article explains billing considerations for repeat consultation scenarios under Medicare guidance, including differences between office, outpatient, inpatient, and group practice settings. It is written for physicians, coders, billers, and practice managers who need to understand when a later encounter may still be considered a consultation versus another type of visit. The discussion centers on documentation, physician requests, follow-up care, and how carriers may review same-day consults from multiple physicians in a group.