Psychiatric News June 17, 2005
Volume 40 Number 12
© 2005 American Psychiatric Association
p. 13
Psychiatric Practice & Managed Care
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CPT Q&A
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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