Results 1 to 3 of 3

Valid Documentation for Consults?

  1. #1
    Pensacola , Florida
    Default Valid Documentation for Consults?
    Exam Training Packages
    Can anyone help me with this ....

    if the doctor mentions in his header this is a consult requested by XXX ... then he goes on with his note , exam and findings ...

    However, the only reference back to the consulting doctor is a "cc" at bottom of page

    I am in training ...and I don't think this is enough - please someone help me to understand how to know if a "cc" to that dr. at the bottom of the exam note is enough to constitute the Consult code ?

    Shouldn't there be some mention that "he responded to Dr. So and So with his findings"

    Please advise ( P.S. these are not medicare )


  2. #2
    Milwaukee WI
    Default What constitutes a report to requesting MD?
    You are hung up on what constitutes a report back to the requesting MD. I would say that a CC to that physician at the bottom of the note (along with mention at the top of the note that a consult was requested by Dr X for evaluation of Y problem) would definitely count.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default consults
    3 things need to happen to bill a consult to those plans still accepting consult codes. You have to have paper documentation that dr so and so requested the exam, the consultant needs to perform the exam and transmit report to requesting p[rovider. The Requesting Provider needs to note he received the consult and comment on it. You can do verbally requested consults but you need to fax something and also get it in writing.

Similar Threads

  1. Documentation for Consults
    By krssy70 in forum E/M
    Replies: 11
    Last Post: 01-22-2010, 01:43 PM
  2. Valid Reason
    By Gemini18 in forum E/M
    Replies: 1
    Last Post: 07-21-2009, 01:39 PM
  3. Valid?
    By Gemini18 in forum E/M
    Replies: 2
    Last Post: 06-25-2009, 10:35 AM
  4. Replies: 1
    Last Post: 06-12-2009, 03:22 PM
  5. documentation for consults
    By ctownsend in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-04-2009, 07:00 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.