Remember the rules governing consultations

Article Overview

This article reviews the core requirements for recognizing and documenting consultation services in medical coding. It focuses on Medicare and CPT-based guidance, including the need for a documented request, a face-to-face evaluation, distinctions from transfer of care, the possibility of initiating treatment, and the requirement to send a report back to the requesting provider. It is relevant to coders, billers, and clinicians who need to distinguish consultations from other E/M services and maintain compliant documentation.