Knowledge Expansion

Ensure compensation for consultations: Making sense of CPT codes 99446-99452

Insight Article

Coding & Documentation

Physicians spend a significant amount of time discussing patient care options with other physicians. In 2014, CPT codes 99446 to 99449 were created to capture the time consultants spend on behalf of a patient who is not present. Information can be exchanged using either the telephone or the internet.

Earlier this year, two more codes were added with this same purpose in mind and a third method of communication, the EHR, was added. CPT codes 99451 and 99452 report the services of providers who work together on behalf of a patient, using any of the three modes of communication. Code 99451 is reported by the consultant, and code 99452 is reported by the treating/requesting provider.

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About the Author

Beverly Gibson
Beverly Gibson MBA, M.Ed., CMPE, CPC, CPC-I, CPMA, CEMA, CIFHA