Section R. 418.10205 - Consultation servicesRule 205.
(1) An attending physician, carrier, third-party administrator, or the injured worker may request a consultation. Codes 99241-99245 and 99251-99255 shall not be used for consultation examinations. Providers shall use the evaluation code that most accurately reflects the service rendered.(2) If a specialist performs diagnostic procedures or testing in addition to the evaluation, then the specialist shall bill the appropriate procedure code from "Physicians' Current Procedural Terminology (CPT[R]). The carrier shall reimburse the testing procedures in accordance with these rules.Mich. Admin. Code R. 418.10205
2000 AACS; 2002 AACS; 2010 AACS