Episode Summary: Office consultation coding requires three documentation items in addition to fulfilling the standard evaluation and management services documentation of history and physical exam.  These three items are:  Request, Reason, and Report.  The requesting physician must document a request to the consulting physician.  There must be a reason for the consultation.  And, the consultant must send a report of the consultation back to the requesting physician.  If these three criteria are not satisfied or there is a transfer of care, a consultation billing code cannot be billed.  Hosts Neal Sheth and Dr. Piyush Sheth explore these requirements in detail and resolve scenarios that highlight grey areas. Of special note is that Medicare no longer recognizes consultation codes.

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Full Transcript Available at www.unravelingmedicalcoding.com