tci Medicare Compliance & Reimbursement - 2010 Issue 23

Reader Questions: Tackle Consultations on a Payer-By-Payer Basis

Question: I am still a little confused about the consultation codes 99241--99245 and 99251--99255. Are these codes deleted completely or are they still being used for private insurance? What codes should my doctor use for coding consultations? Answer: CPT did not delete consultation codes 99241--99245 (Office consultation for a new or established patient ...) and 99251-- 99255 (Inpatient consultation for a new or established patient ...) for 2010. The catch: Medicare is not recognizing, accepting, or paying for the consultation codes. Some private payers have followed suit. But some private payers are still paying the consultation codes. You need...

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