tci Part B Insider - 2010 Issue 45

Documentation Challenge: Can You Code This 'Consult' Note?

With consult codes no longer recognized by Medicare, this type of note puts your coding skills to the test. Although consult codes 99241-99255 still appear in CPT 2011, Medicare payers continue to enforce their policies that consultations are not payable by Part B. You've had a year to get used to this adjustment, but some practices are still unsure of which codes they should bill when the physician documents a consult. Check this operative note and determine how you would code it: CONSULTING PHYSICIAN: John Q. Sample, MD ADMIT DATE: 12/01/2010 CONSULTATION DATE: 12/15/2010 CONSULTATION REPORT: This is an...

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