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Pediatric Coding Alert

READER QUESTIONS :

Can NP Report Breastfeeding Consult?

Published on Sun Jun 28, 2009

Question: We have a nurse practitioner (NP) who has specialized education in lactation consulting. Pediatricians in the same group sometimes ask her to perform a consultation. In a group comprised of physicians with different specialties, a physician in the same group can request a  consultation regarding his specialty. Can we report the NPs visits as consultations, provided they meet the requirements for request for opinion, render of findings, and report to the requesting source? New Mexico Subscriber Answer: Whether your NP can report a consultation depends on whether the insurance company credentials NPs, as well as your states and payers limitations. To report a consult, NP must report 99241-99245 (Office consultation for a new or established patient &) under her own provider number, not incident to a physician. When a physician requests an opinion from a samespecialty nonphysician practitioner (NPP), such as an NP or physicians assistant [PA]), payers usually [...]
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