tci General Surgery Coding Alert - 2007 Issue 1

READER QUESTION: Patient-Generated Second Opinion Isn't a Consult

Question: I know that CPT deleted the confirmatory consult codes for billing second opinions, but I-m not sure how we should report these services now. How should I bill our surgeon's work performing a second opinion?Ilinois Subscriber Answer: If a patient presents to your practice and requests a second opinion, you should report the appropriate E/M code (99201-99205 for new patients, and 99212-99215 for established patients). Because patients generate most second-opinion requests, you should treat these office visits as you would any other E/M visit.Caveat: In some rare cases, you may encounter a physician-generated second-opinion request that...

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