Endocrinology Coding Alert
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Reader Question: Nursing Home Consultations Merit 99251-99255



Question: Which codes should I use when the endocrinologist is called into a nursing facility for a consultation?

New York Subscriber

Answer: You should choose the appropriate code from the 99251-99255 range of codes (Initial inpatient consultation), depending on the level of service that the physician's documentation supports.

CPT defines the codes for initial inpatient consultation as: "The following codes are used to report physician consultation provided to hospital inpatients, residents of nursing facilities, or patients in a partial hospital setting" [emphasis added].



- Published on 2004-06-21
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