Wiki Chemotherapy Drug Consults

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Our oncologists want to report consult codes (99446-99449) when they are compiling a treatment plan for chemotherapy for a patient. This is then sent to an oncology pharmacist who weighs in on if they think the course of treatment is appropriate. Is this the correct way to be reporting this service? It seems as though the pharmacist should be reporting the consult code, but the provider is wanting to report a CPT to capture the workload of reviewing the chart and collaboration. Any advice greatly appreciated.
 
In order to bill 99446-99449 your provider would have to be the provider that another one is consulting for. Here is a snip from the reference in 3M:

"The consultant should use codes 99446, 99447, 99448, 99449, 99451 to report interprofessional telephone/Internet/electronic health record consultations. An interprofessional telephone/Internet/electronic health record consultation is an assessment and management service in which a patient's treating (eg, attending or primary) physician or other qualified health care professional requests the opinion and/or treatment advice of a physician with specific specialty expertise (the consultant) to assist the treating physician or other qualified health care professional in the diagnosis and/or management of the patient's problem without patient face-to-face contact with the consultant.

The patient for whom the interprofessional telephone/Internet/electronic health record consultation is requested may be either a new patient to the consultant or an established patient with a new problem or an exacerbation of an existing problem. However, the consultant should not have seen the patient in a face-to-face encounter within the last 14 days. When the telephone/Internet/electronic health record consultation leads to a transfer of care or other face-to-face service (eg, a surgery, a hospital visit, or a scheduled office evaluation of the patient) within the next 14 days or next available appointment date of the consultant, these codes are not reported."

I don't think that your oncologist would be able to bill this as they aren't the provider that is being consulting. From what I understand from your post, your oncologists are simply putting in time to review the patient's chart, which that only is not billable.
 
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