tci E/M Coding Alert - 2021 Issue Q1

Reader Questions: Consult Guidelines Before Billing These Codes

Question: Our physician offered consultation services to a patient who was in treatment with another physician. How can we bill the consultation? Is it important that the consulting physician takes over the care of the patient? Missouri Subscriber Answer: You can report 99241-99245 (Office consultation for a new or established patient ...) if your physician takes over treatment of the condition. But this does not assume a transfer of care. It is possible that a consultant may treat a patient and ultimately take over care for the condition the consultant has been asked to evaluate. You can think of...

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