CPT Consolidates Consult Coding for 2006

Why This Topic Matters

The update changes how common consult scenarios are classified and reported, which affects documentation, code selection, and potential payer coverage questions for physicians and facilities.

Article Sections

1. All Follow-ups Become Subsequent Care

   Discusses the shift in how later visits during the same inpatient stay are categorized under CPT 2006. It also frames the change in relation to hospital and nursing facility E/M reporting.

2. Don't Overlook Initial Consult

   Covers the first-visit consultation context and how it differs from later inpatient encounters. This section includes an example involving associated testing and same-day service considerations.

3. Celebrate the Change

   Summarizes the practical impact of the coding revision for documentation and coder workflow. It also notes relative reimbursement considerations in broad terms.

4. Forget About 99271-99275

   Addresses the removal of confirmatory consultation reporting and the shift toward other E/M categories for second-opinion scenarios. A patient example illustrates the broader setting in which these services arise.

5. Ask for an ABN for Second Opinions

   Discusses beneficiary notice considerations and potential coverage concerns when a patient seeks a second opinion or confirmation. It also notes why payers may scrutinize these services.