tci General Surgery Coding Alert - 2008 Issue 11

Reader Questions: Coordinate Documentation for In-Office Referrals

Question: For a patient interested in taking the M2A capsule to diagnose her small-bowel pain, one of our physicians requested a consultation from his partner with expertise in the M2A procedure. What chart documentation needs to be present to report a consultation code considering the doctors are partners and they are sharing the chart? Is a letter from the referring physician still required? Indiana SubscriberAnswer: Before you decide how to report this service, you must decide whether the first physician has truly requested a consultation and opinion from his partner. If so, and the doctor specifically asked the M2A...

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