tci General Surgery Coding Alert - 2007 Issue 12

Reader Questions: Treatment, Tests Don't Rule Out a Consult

Question: Can I still report a consultation code if the "consulting" physician initiates treatment, or does that constitute a transfer of care and thereby require that I report a standard outpatient (for the office) or inpatient (for the hospital) code? Colorado Subscriber Answer: A consulting physician can initiate treatment and still report a consultation code (99241-99245, office; or 99251-99255, initial inpatient) as long as the service meets all the consultation requirements (the consulting physician receives a request and reason for a consultation, then renders his opinion and provides a report of his findings back to the requesting physician). CPT...

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