Psychiatric Practice and Managed Care
Psychiatric News
Volume 39 Number 18 page 13-13

Q:What are the documentation requirements associated with inpatient consultations (99251-99255) and outpatient consultations (99241-99245)?

A: The verbal or written request for the consultation must be documented in the patient's medical record. The consultant's opinion and any services that are performed must also be documented in the patient's medical record and communicated to the requesting health care provider. A" consultation" initiated by a patient and/or family member, and not requested by a physician, is not reported using the initial consultation codes but may be reported using the codes for confirmatory consultation (99271-99275) or office visits (99201-99215), as appropriate.

If you have a specific CPT coding question, you can e-mail your query to hsf@psych.org, and we'll forward it to APA's CPT coding experts and provide you with an answer.

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