Part B Payment:
CMS Will Offer Modifier to Denote Admitting Gastroenterologist on Claims
Published on Sun Feb 15, 2009
With the changes to consult coding, it will be more important than ever to report hospital visits properly. Gastro practices across the country are abuzz with the news that Medicare will stop covering consultations effective Jan. 1 -- but there are a few things every coder should know before that deadline hits. Important: Although Medicare will no longer pay for consults (99241-99245, Office consultation for a new or established patient ...; and 99251-99255, Inpatient consultation for a new or established patient ...), not all payers will necessarily follow suit. "The consult codes have not been removed from CPT -- the AMA still printed them in the 2010 manual," notes Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC, president of CRN Healthcare Solutions in Tinton Falls, N.J. "At this point, we don't know what other payers are going to do." Inpatient change: In the past, only the admitting physician reported initial [...]