CPT code 99241, 99245 - Emergency department consultation code

Emergency Department Consultations

•    A separate encounter will be created when the emergency department physician requests a consultation. 

•    Use codes 99241 - 99245 to document consultant services when the consultant is called to the Emergency Department to render a consultation at the request of the emergency department. 

•    The consultant will report his work in his specialty MEPRS clinic.  The level of consultation is based on the documentation contained within the medical record.  Documenting the problem(s) to be evaluated by the consultation establishes the medical necessity for the consultation.  The specialist will evaluate the patient and provide separate written documentation furnishing recommendations on the patient’s care.

•    See also Emergency Department referral in the E&M chapter.

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