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Can an establish patient be seen for a consult? I am getting conflicting information from different sources.

What if the consulting provider wants an opinion on a new problem?

Thanks!

dscoder74
 
Yes they can do a consult on an established patient. You just need to meet the requirements for a consult.

Medicare limits you to 1 consult per provider (or group) per hospital admission but other than that I am not aware of any other limitations.

CPT states that it can be on the same problem or a new problem.

Laura, CPC
 
As long as another provider asks for your provider's expertise for the problem, and this is clearly documented, then you could bill a consult - of course, the other requirements for consult must be met as well. The fact that the patient was previously seen does exclude a consult.
 
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