Medicare Compliance & Reimbursement

Reader Question:

Spot Consultation Conundrums With Office Versus Inpatient Expertise

Question: What is the difference between an office consultation and an inpatient consultation? When should we use each code set? Codify Subscriber Answer: You would use the codes depending on the patient’s hospital status at the time of the consultation. According to CPT® 2019, you should report inpatient consults when “an inpatient consultation is performed on a date that the patient [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.