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Coding Consultations Versus Referrals

Coding Consultations Versus Referrals


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by Cindy C. Parman, C.P.C., C.P.C.-H., R.C.C.
The need for a physician to request advice or opinion from a colleague, in the form of a professional consultation, is almost as old as medicine itself. Because of the existence of certain traditions, urban legends, or connotations relating to the word consultation, however, the procedure codes for these services may not be appropriately billed to insurance payers in all instances.