tci Medicare Compliance & Reimbursement - 2008 Issue 5

Consults: Stay Intent On Documentation In Lieu Of Consult Clarification

Ensure you know the 5 consultation keys -- we’ll tell you what they are Rumors have circulated that CPT 2008 will offer coders updated, clarified guidance on the difference between a consult and a transfer of care, but that guidance won’t be forthcoming in January after all. Experts Disagree on Transfer of Care Definition When you’re trying to code your physician’s consultation services, one of the first questions you need to ask before reporting 99241-99245 (Office consultation for a new or established patient …) or 99251-99255 (Inpatient consultation ...) is whether the requesting physician...

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