tcoder5
Networker
Can you bill a consultation (99241-99245) for an established non-Medicare patient if they have been seen within 3 years?
I'm asking this question as a patient, not a coder: I'm a type 1 diabetic, and I called a new endocrinologist to establish care. I did not have a referral, I just called to set an appointment. My claim on UHC's website shows a consult. I am going to call UHC to see what CPT code was billed. Can this provider bill a consult when I, the patient, initiated contact with no referral?