Wiki Consult Requests

[Gemini18]

Would "medical management and surgical clearance" -- be a valid reason for a consult. Also, where can I get a list of valid reasons for consults? My physicians will put any reason down for a consult and I know some of them are not valid.

Thank you.

 

[RebeccaWoodward*]

Sugical clearance- Possible......

G. Consultation for Preoperative Clearance

Preoperative consultations are payable for new or established patients performed by any physician or qualified NPP at the request of a surgeon, as long as all of the requirements for performing and reporting the consultation codes are met and the service is medically necessary and not routine screening.

As for a list of reasons...the validity of the consult will be dependant on the intent for the visit. (The 3 R's)

30.6.10 is a good resource for this information. It also provides some examples of what does/doesn't constitute a consult

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

 

[Gemini18]

Sugical clearance- Possible......

G. Consultation for Preoperative Clearance

Preoperative consultations are payable for new or established patients performed by any physician or qualified NPP at the request of a surgeon, as long as all of the requirements for performing and reporting the consultation codes are met and the service is medically necessary and not routine screening.

As for a list of reasons...the validity of the consult will be dependant on the intent for the visit. (The 3 R's)

30.6.10 is a good resource for this information. It also provides some examples of what does/doesn't constitute a consult

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

Thank you