READER QUESTION: Patient-Generated Second Opinion Isn't a Consult

Why This Topic Matters

Second-opinion visits can be misclassified if they are assumed to be consults. Understanding the article helps practices choose the correct general E/M pathway and recognize when CMS facility-setting consultation guidance may come into play.

Article Sections

1. Question

   The reader asks how to report surgeon services for a second opinion after deletion of confirmatory consult codes.

2. Answer

   The response addresses general E/M reporting for patient-requested second opinions and notes the distinction between routine office visits and rare consultation scenarios.

3. Caveat

   This section notes an uncommon physician-generated second-opinion scenario that may fit consultation reporting in a facility setting.

4. CMS Transmittal 788, dated Dec. 20, 2005

   A quoted CMS transmittal provides facility-setting guidance on reporting second-opinion consultations and alternative subsequent-care reporting when consultation requirements are not met.