I code part time for a surgeon and she will have students document her consult as well as dictate. She does sign his documentation and notes that she has examined the patient and agrees with his notes. (She does not document a chief complaint or physical exam herself). However, she does document her Impression and Medical Decision Making. I do not feel this meets the requirements for a consult as a teaching physician and have been coding it 99499 so she can receive some type of reimbursement. The person who enters the codes in the system refuses to enter the code because she does not agree. What is your advice?