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 -