tci General Surgery Coding Alert - 2009 Issue 1

Reader Questions: Documentation Distinguishes Consultation

Question: What's the difference between a consult and a referral? How, for instance, would I report the service if my surgeon received a "consult and treat" request from another physician. Illinois Subscriber Answer: You may want to clarify with the "consulting" physician what his intent was in sending the patient to your surgeon. To report a consult code (99241-99255), you must be sure that the medical record reflects all the components that make up a consultation: 1. There must be a request from one physician (or other appropriate source) that your surgeon see the patient 2. The requesting physician...

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