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tci General Surgery Coding Alert - 2003 Issue 10

Beyond the Three R's

Experts advise you on choosing a consult categoryAfter you've documented a request, reason and response, how should you choose a correct consultation category? The answer is in the documentation, say coding experts. Follow these examples when selecting the appropriate code from one of three consult categories: Office or other outpatient (99241-99245): These codes describe consultations provided in the physician's office or in an outpatient or other ambulatory facility. For example, a patient with inflammatory bowel disease presents to his primary-care physician (PCP) with pain in the lower right quadrant, says Eric Sandham, CPC, compliance educator for Central California...

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