tci General Surgery Coding Alert - 2017 Issue 2

Reader Question: Document '3-Rs' for Consultation E/M

Question: Is it true that we can never code for E/M “consultations?” SuperCoder Subscriber Answer: No, it is not true that you can never code for E/M consultations. Although Medicare stopped accepting consultation codes many years ago, other payers may still continue to recognize the CPT® codes for these services: 99241-99245 (Office consultation for a new or established patient, which requires these 3 key components: …) To use these codes, you must document three key components: Request for your surgeon’s opinion, which includes the reason for the consultation Rendering the service in order to develop...

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