tci Medicare Compliance & Reimbursement - 2008 Issue 15

Coding Coach: Details Make 'Transfer Of Care' Black And White

Put consultation requests to this 2-prong test You've been on the fence for two years now on consultation coding for a specific problem, and CPT 2008 didn't answer any of your questions. But you can confidently code a consult despite the "transfer of care" language if the encounter passes this litmus test. In 2006, CMS redefined a transfer of care as one that occurs "when a physician or qualified NPP [nonphysician practitioner] requests that another physician or qualified NPP take over the responsibility for managing the patient's complete care for the condition and does not expect to continue treating...

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