Are you sure you are coding an actual "consultation"? These are very rare. I would make that my starting point to verify that an actual consultation was performed.Hello,
I was wondering if there were any higher level consultation codes other than the 99243 that can be billed for a patient where extensive time was involved. Maybe an add on code that I'm missing? Thanks in advance!
Look at Christine's answer. That is what I was referring to. A consultation has three separate requirements. You miss one of those requirements and you no longer have a "consultation" you then have an E/M. Since 95% of the time, according to a three year audit by CMS, those three requirements were not met, which is why I said that consultations are very rare. All I am saying is to make sure you have met the three requirements for a consultation before you bill a consultation code, and if so, does your patient's insurance still consider that code for benefits?I use 99245 for the consultation with my neurologist. He does take a full amount of time to see the patients as well as to examine the condition to the fullest extent.