AAPC - Back to school
Results 1 to 3 of 3

Thread: Consultation documentation

  1. #1

    Default Consultation documentation

    AAPC: Back to School
    In the letter/note/written report that goes back to the requesting physician does the consulting physician have to state "the patient was sent in consultation"? Does the word consultation have to be somewhere in the documentation to satify the intent of the visit?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Yes

    I instruct my physicians to do this to make it clear that the reason for the visit was a consultation requested by another provider.

    Usually the note will list the Chief Complaint as : Consultation regarding (whatever the problem is).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Carmel, New York

    Default Don't believe that is an absolute necessity...

    to document the word "consultation." Tessa is right that it must be clear that the physician is seeing the patient at the request of another physician, but if that is understood without that actual word "consultation", I believe that would be sufficient.

Similar Threads

  1. Consultation Documentation
    By kelsmith4471 in forum E/M
    Replies: 2
    Last Post: 06-05-2014, 07:08 AM
  2. Documentation on correct documentation placement of procedure notes in the EMR
    By ashephard in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-25-2014, 03:36 PM
  3. Hospital consultation documentation
    By krachow1 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-20-2011, 07:25 AM
  4. Consultation
    By patsybailey in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-20-2010, 11:58 AM
  5. Replies: 2
    Last Post: 06-11-2009, 10:58 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.