tci General Surgery Coding Alert - 2015 Issue 10

Reader Question: Outline Consultation Requirements

Question: Other physicians often ask surgeons in our practice for a consultation on a case. How should we bill the consultation? Does our surgeon have to take over the care of the patient to be able to bill a consultation? Iowa Subscriber Answer: You should report a consultation code such as 99241-99245 (Office consultation for a new or established patient ...) if your surgeon, upon request of another physician, evaluates a patient for a certain condition and either does or does not take over treatment of the condition. The surgeon does not assume a transfer of care for a...

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