AMA CPT® Assistant - 1996 Issue 10 (October)
Evaluation and Management, Consultation (Q&A) (October 1996)
October 1996 page 10a Coding Consultation Evaluation and Management, Consultation (Q&A) Question In the September 1996 CPT Assistant , page 2, you state: "After the consulting physician completes the initial consultation, if that physician assumes responsibility for managing all or a portion of the patient's condition(s), then he or she should not report the consultation codes." Some of my coworkers have interpreted this statement to mean that if the physician assumes the responsibility for managing the patient's care, the consultation codes should not be used for any visit, including the initial visit. I interpret this statement to mean...
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Article Overview
This article is a short CPT Assistant question-and-answer item focused on evaluation and management consultation guidance. It is useful for coders and billing staff who need to understand the article’s discussion of consultation reporting in relation to care management responsibility, without relying on the premium text itself.
Why This Topic Matters
Consultation coding can be affected by how a physician’s role changes during a patient’s care. This Q&A helps readers identify the kind of CPT guidance being discussed and whether the article is relevant to consultation and E/M policy interpretation.
What You Will Learn
- The general topic addressed in a consultation coding Q&A
- How the article frames a question about evaluation and management guidance
- The type of CPT Assistant commentary provided in response to a coding interpretation issue
- How consultation-related guidance is discussed in the context of patient care responsibility
Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Physician practice managers
- Compliance teams
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