decisionhealth Newsletters, Part B News - 2021 Issue 9 (September)
Make sure practitioners get credit for requesting a virtual consult
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Article Overview
This premium Find-A-Code article is aimed at physicians, nurse practitioners, and coding staff in primary care or family practice settings that coordinate with specialists. It discusses general billing and documentation considerations for interprofessional consult requests made by phone, email, or EHR, and it also touches on related CPT prolonged service reporting concepts. The article helps readers understand what types of consult-related activity are being addressed and why timing and coordination of services matter for reporting.
Why This Topic Matters
Practices often spend nontrivial time gathering information and communicating with consultants outside a regular office visit, and this article explains the general reporting issue so those efforts can be recognized appropriately within the CPT framework.
Article Sections
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Question
Introduces a family practice scenario involving communication with specialists about complex patients and the challenge of recognizing work performed on a different day from the office visit.
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Answer
Summarizes the general reporting approach for interprofessional referral-related communication and notes the time-based context in which the service is discussed.
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Prolonged service codes allowed
Describes the broader relationship between the consult-related reporting topic and CPT prolonged service coding concepts.
What You Will Learn
- What kinds of interprofessional consult-related activities the article addresses
- How timing affects whether consult-related work is considered with an office visit or separately
- What broad CPT reporting categories are discussed alongside the consult topic
- What documentation and time-tracking considerations are emphasized for this type of work
Who Should Read This
- Family practice physicians
- Nurse practitioners
- Primary care coding staff
- Medical billers and coders
- Practice administrators
Codes Discussed
Code Ranges Discussed
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