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Coding for Consultations: Physicians Pay the Price for Skimping on Documentation

Coding for Consultations: Physicians Pay the Price for Skimping on Documentation


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To report consultations with confidence, physicians must document explicitly the three components that distinguish a consult (99241–99255) from a “standard� outpatient (99201–99215) or inpatient (99221–99223) E/M service. Just as importantly, the reporting physician must establish that the service represents a true “request for opinion� rather than a “transfer of care.�