Gastroenterology Coding Alert

Part B Payment:

CMS Will Offer Modifier to Denote Admitting Gastroenterologist on Claims

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 [...]
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

Other Articles in this issue of

Gastroenterology Coding Alert

View All