E-Consult Billing: The Revenue Hiding in Your Referrals
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Referrals leave patients waiting for months while the referring physician loses sight of the case. In this episode, Dr. Kevin Halow explains how e-consults give physicians specialist input without a patient visit, and why both physicians can bill for that work.
In this episode:
• Why an e-consult (interprofessional consultation) is not telehealth, and why that distinction matters for billing
• CPT 99452 for the requesting physician (16 to 30 minutes of preparation)
• CPT 99451 for the consultant's written report (5 minutes or more), and how it differs from telephonic codes 99446 to 99449
• The 2025 CMS behavioral health codes G0546 to G0551 for psychologists, clinical social workers, marriage and family therapists, and mental health counselors
• Worked examples in dermatology and behavioral health
• The documentation auditors expect: patient consent, time for each clinician, a written assessment, and a permanent chart record
See how HCC Consult Core documents e-consults: https://cliniciancore.com/platform/hcc-consult-core/
About the ClinicianCore Podcast
Hosted by Dr. Kevin Halow, the ClinicianCore Podcast explores unified clinical communication, physician burnout reduction, HIPAA-compliant collaboration, and the real impact of AI in healthcare.
New episodes are released every Monday at 1 PM EST.
If you’re a healthcare leader, physician, administrator, or innovator committed to improving clinical efficiency and restoring clarity to care delivery, this podcast is for you.
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Learn more about ClinicianCore and our mission to strengthen clinician collaboration at:
https://cliniciancore.com/
Connect with Dr. Kevin Halow
LinkedIn: https://www.linkedin.com/in/kevin-halow-md/