Wiki Definition of TRUE Consult

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kseifert

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I was taught a TRUE consult could ONLY be requested by a Physician.
However CPT notes say Physician or other appropriate source (ex: PA, NP, chiro, etc)
So..the request does NOT have to come from an MD?
Thanks for your time
Karen S
 
It can come from a qualified NPP......

Specifically, a consultation service is distinguished from other evaluation and management (E/M) visits because it is provided by a physician or qualified nonphysician practitioner (NPP) whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician or other appropriate source. The qualified NPP may perform consultation services within the scope of practice and licensure requirements for NPPs in the State in which he/she practices.

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

30.6.10
 
School nurse

Rebecca's information is accurate for the consulting physician. But I think you are asking who can request the consultation.

One example I remember from my training is that a consultation might be requested by a school nurse for advice on treating a child's issues when at school.

It still has to be a qualified requestor. The patient cannot request the consultation him/herself.


F Tessa Bartels, CPC, CEMC
 
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