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E/M Coding:

Don’t Use 94451 for Referring Physician’s Work

Published on Wed Jan 28, 2026

Question: A provider in my practice reached out to another physician to consult on a patient’s issue. I billed 99451 but the claim was denied. What should I have billed instead? Texas Subscriber Answer: When you look at the description for 99451 (Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care [...]
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