tci E/M Coding Alert - 2018 Issue 4

Save This Consult Rules and Regs Reminder

Remember these 5 Rs the next time you code this service. Before your providers can get paid for consultations, they must have clear documentation that the requesting physician asked for their services. Remember the five Rs of consultations when coding these situations with the old consultation codes: 1. Reason: With new guidelines for coding with consultation codes, only the consulting physicians must document a medically necessary reason for a consultation, and the reason for the consultation must satisfy medical necessity. 2. Request: The request must come from another physician or qualified nonphysician practitioner (NPP). CPT® also allows requests from...

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