DecisionHealth, DecisionHealth - 2018 Issue 3 (March)

Some payers accept consult codes — but be sure that’s what you did

Question: For new patients who are not on Medicare, our office uses the office consultation codes 99241-99245 if referred by a doctor and 99201-99205 if self-referred. The E/M criteria are met for time, history and exam for all codes. Is our use of the consultation codes correct? Is it commercial carrier dependent?

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