Ama Policy

Consultation Follow-Up and Concurrent Care of Referral for Principal Care H-390.917

Fee Schedules

(1) It is the policy of the AMA that: (a) the completion of a consultation may require multiple encounters after the initial consultative evaluation; and (b) after completion of the consultation, the consultant may be excused from responsibility of the care of the patient or may share with the primary care physician in concurrent care; he/she may also have the patient referred for care and thus become the principal care physician. (2) The AMA communicate the appropriate use of consultation, evaluation and management, and office medical services codes to third party payers and advocate the appropriate reimbursement for these services in order to encourage high quality, comprehensive and appropriate consultations for patients.

Policy Timeline

Sub. Res. 42, A-90 Amended: BOT Rep. P, I-92 CMS Rep. 3, A-96 Reaffirmed: CMS Rep. 8, A-06 Reaffirmation I-08 Modified: CMS Rep. 01, A-18