There are no longer any CPT® codes for confirmatory consults. If a patient presents to the office with a request for a second opinion, how is that billed?
If the patient is requesting a second opinion, bill that service as a new or established patient, whichever category is correct for that patient encounter. If another healthcare professional is requesting a second opinion, and the criteria for a consult are met: request, reason, report, then bill an outpatient consult.
On an inpatient basis, only one consult per/specialist is allowed for any admission. If the physician had performed a consult, signed off the case, and then was asked to come back for another opinion, that service is billed as a subsequent hospital visit.
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