tci Part B Insider - 2008 Issue 13

Part B Coding Coach: Put Consultation Request to This 2-Prong Test

These details make -transfer of care- black and whiteYou-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...

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