• a problem focused history;
• a problem focused examination;
• straightforward medical decision making.

Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.

Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 20 minutes at the bedside and on the patient's hospital floor or unit.

Examples

Initial inpatient consultation for a 30-year-old female complaining of vaginal itching. post orthopaedic surgery. (Obstetrics & Gynecology)

Initial inpatient consultation for a 36-year-old male on orthopaedic service with complaint of localized dental pain. (Oral & Maxillofacial Surgery)

• an expanded problem focused history;
• an expanded problem focused examination;
• straightforward medical decision making.

Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.

Usually, the presenting problem(s) are of low severity. Physicians typically spend 40 minutes at the bedside and on the patient's hospital floor or unit.

Examples

Initial inpatient consultation for recommendation of antibiotic prophylaxis for a patient with a synthetic heart valve who will undergo urologic surgery. (Internal Medicine)

Initial inpatient consultation for possible drug eruption in 50-year-old male. (Dermatology)

Preoperative inpatient consultation for evaluation of hypertension in a 60-year-old male who will undergo a cholecystectomy. Patient had a normal annual check-up in your office 4 months ago. (Internal Medicine)

Initial inpatient consultation for 66-year-old patient with wrist and hand pain and finger numbness, secondary to carpal tunnel syndrome. (Orthopaedic Surgery/Plastic Surgery)

Initial inpatient consultation for a 65-year-old male smoker referred for pain management immediately status post-biliary tract surgery done via sub-costal incision. (Anesthesiology/Pain Medicine)

Initial inpatient consultation for a 45-year-old male previously abstinent alcoholic, who relapsed and was admitted for management of gastritis. The patient readily accepts the need for further treatment. (Addiction Medicine)

• a detailed history;
• a detailed examination;
• medical decision making ot low complexity.

Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs.

Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 55 minutes at the bedside and on the patient's hospital floor or unit.

Examples

Initial inpatient consultation for a 57-year-old male, post lower endoscopy, for evaluation of abdominal pain and fever. (General Surgery)

Initial inpatient consultation for rehabilitation of a 73-year-old female one week after surgical management of a hip fracture. (Physical Medicine & Rehabilitation) Initial inpatient consultation for diagnosis/management of fever following abdominal surgery. (Internal Medicine)

Initial inpatient consultation for a 35-year-old female with a fever and pulmonary infiltrate following cesarean section- (Pulmonary Medicine)

Initial inpatient consultation for a 42-year-old non-diabetic patient. post-op cholecystectomy. now with an acute urinary tract infection. (Nephrology)

Initial inpatient consultation for 53-year-old female with moderate uncomplicated pancreatitis.

(Gastroenterology)

Initial inpatient consultation for 45-year-old patient with chronic neck pain with radicular pain of the left arm. (Orthopaedic Surgery)

Initial inpatient consultation for 8-year-old patient with new onset of seizures who has a normal examination and previous history. (Neurology)

• a comprehensive history;
• a comprehensive examination;
• medical decision making of moderate complexity.

Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs,

Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 80 minutes at the bedside and on the patient's hospital floor or unit,

Examples

Initial inpatient consultation for evaluation of a 63-year-old in the ICU with diabetes and chronic renal failure who develops acute respiratory distress syndrome 36 hours after a mitral valve replacement. (Anesthesiology)

Initial inpatient consultation for a 66-year-old female with enlarged supraclavicular lymph nodes, found on biopsy to be malignant, (Hematology/Oncology) Initial inpatient consultation for a 43-year-old female for evaluation of sudden painful visual loss, optic neuritis and episodic paresthesia, (Ophthalmology)

Initial inpatient consultation for evaluation of a 71-year-old male with hyponatremia (serum sodium 114) who was admitted to the hospital with pneumonia. (Nephrology)

Initial inpatient consultation for a 72-year-old male with emergency admission for possible bowel obstruction. (Internal Medicine/General Surgery)

Initial inpatient consultation for a 35-year-old female with fever, swollen joints, and rash of 1 week duration, (Rheumatology)

• a comprehensive history;
• a comprehensive examination;
• medical decision making of high complexity.

Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs,

Usually, the presenting problem(s) are of moderate to high severity, Physicians typically spend 110 minutes at the bedside and on the patient's hospital floor or unit.

Examples

Initial inpatient consultation in the ICU for a 70-year-old male who experienced a cardiac arrest during surgery and was resuscitated. (Cardiology)

Initial inpatient consultation for a patient with severe pancreatitis complicated by respiratory insufficiency, acute renal failure and abscess formation. (Gastroenterology)

Initial inpatient consultation for a 70-year-old cirrhotic male admitted with ascites, jaundice, encephalopathy, and massive hematemesis. (Gastroenterology)

Initial inpatient consultation in the ICU for a 51 -year-old patient who is on a ventilator and has a fever two weeks after a renal transplantation. (Infectious Disease)

Initial inpatient consultation for evaluation and formulation of plan for management of multiple trauma patient with complex pelvic fracture, 35-year-old male. (General Surgery/Orthopaedic Surgery)

Initial inpatient consultation for a 50-year-old male with a history of previous myocardial infarction, now with acute pulmonary edema and hypotension. (Cardiology)

Initial inpatient consultation for 45-year-old male with recent, acute subarachnoid hemorrhage, hesitant speech, mildly confused, drowsy, High risk group for HIV+ status. (Neurosurgery)

Initial inpatient consultation for 36-year-old female referred by her internist to evaluate a patient being followed for abdominal pain and fever, The patient has developed diffuse abdominal pain, guarding, rigidity and increased fever. (Obstetrics & Gynecology)

 TOP