With non-payment for consultation codes, you will need to relearn some old coding rules. While most coders know by now that the rumors swirling about consultation coding and payment changes were true, confusion still runs rampant about how you'll deal with the changes. CMS published the 2010 Physician Fee Schedule, which you can find at
www.cms.hhs.gov/PhysicianFeeSched/PFSRVF. The fee schedule indicates that there are no relative value units (RVUs) assigned to the consultation codes, so it's now clear that you won't use those codes for Medicare in 2010. Now your job is to figure out how to report the consultation services your podiatrist provides so that he'll get paid for his services -- by both Medicare and private payers. Turn to Initial Hospital Care Codes for Medicare Since Medicare will no longer reimburse you for inoffice consultation codes (99241-99245, Office consultation for a new or established patient ...) and inpatient consultation [...]