Coding for Peer to Peer

nhenderson

Networker
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My doctor did a 10min phone call with another physician regarding a mutual patient, can he code for this? CPT 99441-99443 don't work since the conversation was not with the patient or family.
 

aaron.lucas

Expert
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Cherry Hill, NJ
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there really isnt a code for doctor to doctor conversations, so maybe an unlisted, but good luck getting that paid. i work for a PIP vendor in NJ, and we dont recommend payment for doctor to doctor phone calls. I would think any discussion between providers about a mutual patient would be considered "coordination of care" which is kind of an MDM thing, so it would be included in previous or subsequent office visits.
 

BRUKAT74

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Peer to peer

I understand the coordination of care being part of MDM when discussing a mutual patient between two treating physicians. I do wonder about charging for a Peer to Peer discussion with a gatekeeper physician that has never met the patient but is hired by a third party to explain why the treating physician ordered a procedure such as an MRI, CT, etc.
 
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