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

Why This Topic Matters

Correctly distinguishing a consultation from a transfer of care affects whether a consult code or another E/M category should be reported. The article helps coders and clinicians understand the high-level policy framework applied by Medicare and CPT when treatment begins during the consult process.

Article Sections

1. Question

   Introduces the coding scenario being asked about and frames the general issue of consultation reporting when treatment begins.

2. Answer

   Summarizes the general guidance on consultation services, the related Medicare policy references, and the distinction between consultative care and ongoing management.

3. Transfer of care

   Explains the broader concept of transfer of care and how it changes the type of E/M service reported.

4. Example

   Provides a brief clinical scenario illustrating the difference between a consultation and a transfer of care in a surgical context.