tci General Surgery Coding Alert - 2002 Issue 7

Simple Questions Cut Through Consultation Confusion

There is more to reporting consultations than ensuring the general surgeon has fulfilled the three R's. You must also consider other factors that greatly affect reimbursement, such as location of service, transfer of patient care, and whether the patient's condition was known before the consult. Like all medical specialists, general surgeons consult in a variety of situations: 1. A primary-care physician (PCP) asks a general surgeon to evaluate a patient. 2. The emergency department calls the surgeon to assess a patient. 3. The surgeon is requested to see an inpatient. 4. Another specialist performing a procedure requires the general...

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