tci General Surgery Coding Alert - 2010 Issue 11

Reader Questions: Bill Consultations With a Referral

Question: When another doctor refers a patient to our surgeon, who meets with the patient in the office before going on to perform surgery at a later date, is this a new patient visit or a consultation? Our surgeon always sends a report to the referring physician. Sometimes the other doctor sends a written referral, but sometimes we just get a phone call or the patient states that her doctor referred her -- does that impact the coding?Answer: You can bill the situation you've described as a consultation (99241-99245, Office consultation for a new or established patient ...)...

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