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Thread: Consultation codes

  1. #1

    Default Consultation codes

    AAPC: Back to School
    What's the general rule for consultation coding? Thanks

  2. #2
    Join Date
    Apr 2007
    Reading, PA



  3. #3
    Join Date
    Apr 2007
    North Carolina


    Specifically, a consultation service is distinguished from other evaluation and management visits because it is provided by a physician or qualified nonphysician practitioner whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician or other appropriate source.

    A request for a consultation from an appropriate source and the need for consultation (i.e., the reason for a consultation service) shall be documented by the consultant in the patient’s medical record and included in the requesting physician or qualified NPP’s plan of care in the patient’s medical record; and After the consultation is provided, the consultant shall prepare a written report of his/her findings and recommendations, which shall be provided to the referring physician.

    Section 30.6.10


  4. #4

    Thumbs up Thanks

    Thank you - It helps a lot.

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