Indiana Subscriber
Answer: Before you decide how to report this service, you must decide whether the first urologist has truly requested a consultation and opinion from his partner. If so, and the doctor specifically asked the transurethral needle ablation (TUNA) specialist for his opinion, this fact must be in the patient's chart to satisfy the "request for consultation" requirement. Separate letters from the requesting and consulting physicians are not needed because both are using a common chart.
However, if one of your doctors is referring the patient to his partner because only he performs the TUNA procedures, you should not report a consultation code.