That is why I mentioned to justify the Criteria of Consultation:
The three criteria for a consultation are stated in the MCM :
1. A consultation is distinguished from a visit because it is provided by a physician whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician or other appropriate choice.
2. A request for a consultation from an appropriate source and the need for consultation must be documented in the patient’s medical record.
3. After the consultation, the consulting physician prepares a written report of findings that is provided to the referring physician.
In no other situation can you use Consultation codes.
I also would like to add to content for my answer regarding new Medicare TF:
The Patient Protection and Affordable Care Act (PPACA), signed into law March 23, 2010, establishes new timely filing provisions for filing Medicare fee-for-service (FFS) claims (including Medicare Part A and Medicare Part B services), which could significantly affect health care providers.
Under the new law, claims for services furnished on or after January 1, 2010, must be filed within one calendar year of the date of service. The law also mandates claims for services furnished before January 1, 2010, must be filed by December 31, 2010.
A claim with dates of service from September 1, 2009, through September 27, 2009, must be submitted by December 31, 2010.
A claim with dates of service from November 3, 2008, through November 20, 2008, must be submitted by December 31, 2010.
A claim with dates of service from November 3, 2009, through November 20, 2009, must be submitted by December 31, 2010.
A claim with dates of service from February 4, 2010, through February 28, 2010, must be submitted by February 28, 2011.
Although PPACA does allow for very limited exceptions to the one-year filing deadline, as a practical matter, fee-for-service providers should plan to file all claims with pre-January 2010 dates of service by December 31, 2010.