• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 99214 Requirements

S

svevans3

Networker
Messages
34
Best answers
0
If you're a specialist billing 99214, is it a REQUIREMENT to send the PCP the Office Note AND a LETTER? I have one doctor saying only the Office Note has to be sent and another doctor saying a Letter must me sent with the Office Note. Please advise....Thanks!
 
To my knowledge, there is no "requirement" that either be sent by the specialist back to the PCP for a 99214. From a professional courtesy standpoint, either a copy of the office notes or or a letter which details the findings would be sufficient. I don't think it's really necessary to send both since the information in the two would be somewhat redundant.

Tom Cheezum, O.D., CPC

PS - when there were "consult" codes that could be used by the specialist, they did "require" that a report be sent back to the referring provider by the consulting physician in order for the consultant to bill for a consulting code. Those consulting codes aren't payable by Medicare or many other carriers any more.
 
You must log in or register to reply here.
Top