What is an example of a CPT code used for a consultative service?

Prepare for the Current Procedural Terminology (CPT) Exam. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam today!

The selected answer is correct because CPT code 99244 specifically designates a consultative service involving an office or other outpatient visit for an established patient that requires a moderate level of complexity in data review and clinical decision-making. This code applies to situations where the physician provides advice or evaluation for a patient's condition, demonstrating the essence of a consultative encounter.

In contrast, the other codes listed are used for different types of visits or levels of service. For instance, 99201 represents a lower level of complexity for office visits, which was part of the previous coding guidelines before being deleted in 2021. Additionally, 99215 is used for high-complexity established patient visits, while 99203 is for new patient visits that involve a moderate level of complexity but not specifically categorized as consultative services. Understanding the nuances of these codes is critical for accurate reporting of consultative services and ensuring proper reimbursement.

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