R 418.10205
R 418.10205 Consultation services.
Cite as Mich. Admin. Code R 418.10205
Rule 205. (1) An attending physician, carrier, third-party administrator, or the injured worker
may request a consultation. Procedure codes 99242 to 99245 and 99252 to 99255 must 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, the
specialist shall bill the appropriate procedure code from the CPT® codebook. The carrier shall
reimburse the testing procedures in accordance with these rules.