tci General Surgery Coding Alert - 2003 Issue 9

Billing Consults: 3 Words You Can't Do Without

Quick: What three requirements distinguish a consult (99241-99263) from other inpatient and outpatient E/M services? If you can't answer, you need to brush up on the "Three R's" of consults - request, reason and response -or you may face audits or denied claims for incorrect coding. "As specialists, surgeons will see a lot of consults," says Anita L. Carter, LPN, CPC, an instructor at A+ Medical Management and Education, a school for billing and coding in Absecon, N.J. "Essentially, a consult takes place when one physician seeks the opinion or advice of a second physician, usually a...

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