tci General Surgery Coding Alert - 1999 Issue 4

Medicare Clarification on Consultations Gets Mixed Reviews

General surgeons are often asked to share their expertise with an attending physician. However, a previous series of clarifications by Medicare regarding what is and is not a consultation has done anything but clarify the issue for many surgeons. Now a new Medicare revision (8199) may be a step in the right direction. According to Transmittal No. 1644, which recently when into effect, a consult may be billed regardless of treatment initiation unless a transfer of care occurs. A transfer of care occurs when the referring physician transfers the responsibility for the patients complete care to the receiving physician...

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