tci Part B Insider - 2008 Issue 36
Reader Question: Documentation Distinguishes Consult
Keep an eye on "consult and treat" requestsQuestion: What's the difference between a consult and a referral? How, for instance, would I report the service if my surgeon received a "consult and treat" request from another physician?Answer: You may want to clarify with the "consulting" physician what his intent was in sending the patient to your surgeon.To report a consult code (99241-99255), you must be sure that the medical record reflects all the components that make up a consultation:1. There must be a request from one physician (or other appropriate source) that your surgeon see the patient2...
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