tci E/M Coding Alert - 2015 Issue 9

Consultations: Clear Up Consultation Coding Conundrums, Regardless of the Payer

Not all payers follow Medicare rules. For the past several years, you haven’t been able to report consultation codes to Medicare, but not all payers follow that same rule. To make things even more complicated, if the payer still accepts consultation codes, the documentation must contain key elements before you can actually bill one. These confusing rules mean that every time your provider performs a consultation, you have to do some detective work before you can choose the right code. If you report the wrong type of code to a payer, your practice stands to lose out on...

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