Currently, when another doctor admits a pt. and we do a consult and the next day or subsequent day we preform surgery, we code the consult as 99251/99252, BUT now our billing manager is questioning that. If we are taking over the care of the pt. and preforming the surgery, should the consult be coded as a subsequent day E/M? or what code should be used if a consult code is not acceptable. Reason being, a consult must include the 3 R's, but not take over the full care of the patient.