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Thread: Referring Physician Requirements

  1. #1

    Smile Referring Physician Requirements

    AAPC: Back to School
    Were can I find a list that shows the referring physician requirements by CPT Code?

  2. #2
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    The referring physician need only document who they are requesting a consultation from in the clinic notes? Then a letter should follow from that consulting physician when he/she recieves it. This is not documented in the CPT per se.

    Be aware some auditors do not accept just a "prescription" in the chart requesting a consultation by the referring physician as this is a sign that the request of actually generated by the patient and/or family.

    Hope this helps.

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