Gastroenterology Coding Alert

Get Used to Coding Consult Services Differently in 2010

Medicare assigns no value to consult codes next year. The rumors are now official facts. Medicare is deepsixing payment for all consultation codes in 2010. "After years of struggling to differentiate a consult from another E/M service by using the concept of transfer of care, they've just said no" to consult codes, reports Betsy Nicoletti, MA, CPC, author of The Field Guide to Physician Coding. Check out this primer on the brave new world of E/M coding without 99241-99245 (Office consultation for a new or established patient, which requires these 3 key components: ...) and 99251-99255 (Inpatient consultation for a new or established patient, which requires these 3 key components ...). Opt for OV Codes On Office Consults Setting will still factor into code choice when reporting consultations in 2010; you'll just be coding for the service with different E/M codes. Office/Outpatient: "Any physician who sees a patient in the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more