Evaluation And Management
Chapter 2
Section 5.1
Consultations
Issue Date: March 3, 1992
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision: C-13, November 15, 2017
1.0 CPT
PROCEDURE CODE RANGE
99241 - 99255
2.0 DESCRIPTION
A deliberation with a specialist
physician, dentist, or qualified mental health provider requested by
the attending physician primarily responsible for the medical care
of the patient, with respect to the diagnosis or treatment in any
particular case.
3.0 POLICY
3.1 Consultations performed by an individual professional
provider at the request of the patient’s attending provider are
covered.
3.2 A
consulting physician, dentist, or qualified mental health provider
may perform a limited examination of a given system or one requiring
a complete diagnostic history and examination.
3.3 To qualify as a consultation,
a written report to the attending physician of the consultant’s findings
is required.
4.0 EXCLUSIONS
4.1 Telephone
consultations and telephone toll charges are not covered.
4.2 Staff consultations
required by the policies of a hospital or other institution.
- END -