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Coding for Peer to Peer

  1. #1
    Default Coding for Peer to Peer
    Medical Coding Books
    My doctor did a 10min phone call with another physician regarding a mutual patient, can he code for this? CPT 99441-99443 don't work since the conversation was not with the patient or family.

  2. #2
    there really isnt a code for doctor to doctor conversations, so maybe an unlisted, but good luck getting that paid. i work for a PIP vendor in NJ, and we dont recommend payment for doctor to doctor phone calls. I would think any discussion between providers about a mutual patient would be considered "coordination of care" which is kind of an MDM thing, so it would be included in previous or subsequent office visits.

  3. Default Peer to peer
    I understand the coordination of care being part of MDM when discussing a mutual patient between two treating physicians. I do wonder about charging for a Peer to Peer discussion with a gatekeeper physician that has never met the patient but is hired by a third party to explain why the treating physician ordered a procedure such as an MRI, CT, etc.

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