99446 Consultation Medicare reimbursement rates in Alabama

99446 is for a consultant physician’s brief remote review and discussion of a patient’s case with the treating or requesting clinician, followed by a written report. It is useful when a clinician needs specialty input on diagnosis or management without arranging a face-to-face visit with the consultant. For example, a primary care clinician may request a cardiologist’s advice about medication management in a patient with a complex cardiac history. The patient is not the other party to the clinician-to-clinician discussion.

Select this tier using the consultant’s time spent on the medical discussion and record review: 5–10 minutes supports 99446. Document the request and clinical question, relevant records reviewed, communication with the treating clinician, time, and written recommendations. The discussion, review, and report form parts of this consultative service. CMS assigns physician work and practice-expense values to the code in the physician fee schedule; the consultant reports the service, not the treating clinician’s referral-coordination work.