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Otolaryngology Coding Alert

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Prevent Inpatient Consultation Claim Denials With This Advice

Published on Tue Oct 18, 2022

Question: I billed 99253 for an inpatient consultation on a Medicare patient performed by my otolaryngologist. The documentation supported the level of service coded, but the claim was denied. Where did I go wrong? Oklahoma Subscriber Answer: As of Jan. 1, 2010, Medicare no longer accepts CPT® codes 99241-99245 and 99251-99255 for consultation services. When the Centers for Medicare and [...]
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