February 2023 page 12
Questions and Answers
Evaluation and Management: Consultations
Question: A patient is seen by a cardiologist in the office. Two weeks later, the patient is admitted to the hospital by a physician
other than the cardiologist, and the cardiologist is contacted for a consult. What would be the appropriate Current Procedural
Terminology (CPT®) code(s) to report for this scenario?
Answer: In this scenario, the cardiologist would report the appropriate consultation code (99242-99245), while the admitting physician would report the appropriate inpatient or observation care code (99221-99223). If the patient remains hospitalized, then an appropriate subsequent...
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