tci E/M Coding Alert - 2015 Issue 8

Reader Question: Compare Treatment and Transfer of Care

Question: Is it true that I cannot bill a consultation if the consulting physician takes over care of the condition the patient is referred for? Iowa Subscriber Answer: No, that is not correct. You can report a consultation code (Office consultation for a new or established patient ...) if your physician takes over treatment of the condition but doesn’t not assume a transfer of care. “A consultant may treat a patient and ultimately take over care for the condition that they have been asked to evaluate,” says Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I...

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