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Psychiatric Practice & Managed Care
Published Online: 17 June 2005

CPT Q&A

Publication: Psychiatric News
Volume 40, Number 12
https://doi.org/10.1176/pn.40.12.00400013a
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Q: I am a consultant to physicians at a nursing facility, who call me in when they think a resident may be having psychiatric issues. How do I code for these services? Do I use nursing home codes or consultation codes? If I use consultation codes, do I use the ones for outpatient or inpatient?
A: The proper codes to use for a consult in a nursing home are the inpatient consultation codes (99251-99255 for new patients; 99261-99263 for established patients). For the purposes of consultations, nursing facilities are considered inpatient settings. It is important to note that when a consultation code is used, you must submit a written report to the referring physician. ▪

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Psychiatric News
Volume 40 • Number 12 • June 17, 2005
Pages: 13

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Published online: 17 June 2005
Published in print: June 17, 2005

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