Specialist Consultation
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Specialist Consultation Receipt Example
This receipt documents a neurology consultation for migraine evaluation, a CPT 99244 moderate complexity office consultation at Midwest Neurology Group. The $350.00 billed amount is reduced by a $124.50 contractual adjustment to an allowed amount of $225.50. Cigna paid $165.50, leaving $60.00 as the patient's responsibility. Referring physician and auth number are recorded on the receipt.
This specialist consultation receipt documents a new-patient cardiology visit (CPT 99204) billed at $385 with $325 insurance adjustment and $60 patient copay. The receipt includes the cardiologist NPI, ICD-10 code I10 (essential hypertension), and procedure modifiers for the comprehensive visit.
Receipt Breakdown
What Makes This Receipt Realistic
- • CPT 99244: moderate complexity consultation code, higher than routine visit
- • Referring physician name on receipt, required for consultation billing
- • $350.00 billed, realistic for a specialist consultation vs $285.00 for follow-up
- • ICD-10 G43.909: migraine unspecified, a common neurology consultation reason
- • Math: $225.50 allowed − $165.50 ins paid = $60.00 patient responsibility
Frequently Asked Questions
What does this consultation receipt show?
This receipt documents a neurology consultation at Midwest Neurology Group, 800 W. Diversey Pkwy, Chicago, IL 60614. Patient: Sandra L. Hoffman. Date of Service: August 12, 2025. Referring Physician: Dr. Michael Chen, MD (PCP). CPT 99244: Office Consultation, Moderate Complexity. ICD-10: G43.909 (Migraine, unspecified, not intractable). Billed: $350.00. Contractual Adjustment: −$124.50. Allowed Amount: $225.50. Insurance Paid (Cigna PPO): −$165.50. Patient Responsibility: $60.00. Referral Auth #: REF-2025-8214. HSA/FSA Eligible.
What is a CPT 99244 consultation and who can bill for it?
CPT 99244 is a moderate complexity office consultation, a service where a physician is asked by another treating physician to render an opinion on a specific problem. The consulting physician reviews the patient's history, performs an examination, reviews pertinent data, and returns a written report to the referring physician. CPT 99244 requires moderate complexity medical decision-making: multiple diagnoses, additional work-up options, or management of a prescription drug requiring intensive monitoring. Consultations under CPT 99241–99245 can only be billed by a physician who is not the patient's established treating physician for that problem, it is a one-time (or limited) evaluation service.
How does a consultation receipt differ from a specialist follow-up receipt?
A consultation (CPT 99244) is a first-opinion service, the specialist sees the patient once to evaluate a specific problem and return findings to the referring physician. Subsequent visits with the same specialist for ongoing management become regular office visits (CPT 99211–99215). The consultation receipt typically shows the referring physician's name or authorization number, which regular follow-up receipts do not include. Consultation codes (99241–99245) also have higher allowed amounts than the equivalent complexity level of a standard office visit, reflecting the additional time required for chart review and the formal written consultation report.