tci General Surgery Coding Alert - 2004 Issue 8

You Be the Coder: Do Consults Have Time Limits?

Question: If I perform an office consultation on a patient, how much time must elapse before I can bill 99241-99245 again for the same patient? Florida Subscriber Answer: CPTand Medicare don't restrict how often you can report an office consultation for the same patient. You should bill 99241-99245 (Office consultation for a new or established patient, which requires these three key components ...) if the visit meets a consultation's three criteria: An appropriate source must request your physician's opinion regarding the patient's condition. The surgeon must render the examination and then report his findings to the requester in writing...

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