tci E/M Coding Alert - 2020 Issue Q1

You Be the Coder: Want to Bill 99241-99245 Frequently? Consult the Answer to This Question

Question: Our ophthalmologist performed an office consul­tation on a patient and his insurer does still reimburse for consultations, so we collected for that service. Then another physician sent the same patient to us for a separate consult just a few months later. How much time must elapse before we can bill 99241-99245 again for the same patient? Illinois Subscriber Answer: CPT® and Medicare don’t restrict how often you can report an office consultation for the same patient. You should bill 99241-99245 (Office consultation for a new or established patient, which requires these 3 key components ...)...

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