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Improvement
When to use a
consult code
Increase revenue thru proper coding
Coding correctly for consultation increases
reimbursement by more than 100% vs. established
patient visit codes. That additional
reimbursement compensates both for the
additional time involved in communicating with
the requesting physician and the increased
liability involved in rendering an opinion.
Consultation is a response to a request for an
opinion by a physician. The request for opinion
is specific and requires a response from the
consultant. Consultation coding is available to
all physicians. Visits with established patients
may be coded as consults if the visit meets the
criteria.
Although the criteria for coding a consultation
are fully elaborated in the CPT manual, a few
simple rules summarize the appropriate situation
for consultations:
1. Opinion requested by a physician (or entity
employing physician)
2. Purpose of exam is to report findings to a
physician (or entity employing physician)
3. Only opinion is requested. Treatment of
patient is not requested or performed.
Pre-surgical exams performed on a date prior to
the surgery are the best example. This is an
exam performed for the purpose of providing
information to the surgeon (or entity) about the
health of the patient in relation to the
condition requiring surgery. The primary
diagnosis for the service is the surgical
diagnosis.
Remember to include the name and NPI of the
referring physician with your encounter form.
This information is required when billing
consults to Medicare. If you do not have the NPI
for the referring physician, please list the
physician’s name and we will obtain the NPI.
By focusing on proper consultation coding, you
can add to your bottom line and compensate for
the additional time and paperwork
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