Urology Coding Alert

Caution: Avoid adding a consultation to every surgical procedure. Consultation coding is a challenge even for veteran coders. But if you know the "three Rs" requirement and what constitutes a transfer of care, you're well on your way to being a consultation guru. Read on to get expert answers to three of the top frequently asked consultation questions. Question 1: What are the required components for coding a consult? When you submit a consult claim, you should also include documentation that explains the consultation circumstances. Documentation requirements for consults vary by payer, but experts say your consult documentation should at least include evidence of: • A written or documented request for the consult • The consultant's opinion or advice • Any services the consultant provides or orders • A written report to the requesting physician or provider. You need to be sure the visit meets the "three Rs" whether you're [...]