AMA CPT® Assistant - 2015 Issue 12 (December)
Evaluation and Management: Consultations (Bonus Q&A) (December 2015)
December 2015 page 18a Evaluation and Management: Consultations Question: If a patient with a specific condition or problem is referred to a surgeon, is the surgeon able to report a consultation code? Answer: Often the terms consultation and referral are mistakenly interchanged, but these terms are differentiated in the CPT code set. Careful documentation of the services requested and provided will alleviate much of the confusion in reporting consultative services. As defined in the CPT® 2016 codebook (p 19), "… consultation is a type of evaluation and management service provided at the request of another physician or appropriate source...
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