tci Part B Insider - 2008 Issue 20

Part B Coding Coach: Know When You Can Report a Repeat Consultation--and When You Can't

Don't let time-limit myth restrict your optionsIf you-re a specialist and you use the three-year rule across the board for outpatient services, you-re sacrificing consultation pay.After you send a patient back to the primary-care physician (PCP) for a completed episode of care, you can perform another consultation. -The three-year rule applies to office visits, not consultations,- said Barbara J. Cobuzzi, MBA, CPC-OTO, CPC-H, CPC-P, CPC-I, CHCC, in The Coding Institute-s Otolaryngology Coding and Reimbursement Conference in San Antonio. Know Status With 99201-99215 You should use the same code for office consultations (99241-99245, Office consultation for a new...

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