Wiki Consult or established pt visit


Ellenwood, GA
Best answers
I work for spine surgeons and we also have three physical medicine & rehab. docs. in our practice that does all the conservative treatment . My question is, If a patient comes in and visits the PMR doc. and the PMR doc refers the pateint to the surgeon, would the surgeon office visit be established or a consult?
Depends on the intent.

If there is just a transfer of care (which is indicated by the word refer) it would be a new patient(if they have not seen another spine surgeon in that group within 3 yrs), because they are different specialties. If they had seen one of the spine surgeons in that time frame it would be established.

If it is a request for opinion then you would have a consult if the 4 R's are met.

Laura, CPC