Office or Other Outpatient Consultations CPT® Code range 99242- 99245
The Current Procedural Terminology (CPT) code range for Office or Other Outpatient Consultations 99242-99245 is a medical code set maintained by the American Medical Association.
Subscribe to Codify by AAPC and get the code details in a flash.
Side by side the 1995 and 1997 Documentation Guidelines and the 2023 CPT EM Services Guidelines arent so different. Some hospitals and coding and billing entities are under the impression that the new... [ Read More ]
Are inaccuracies in patients medical records costing your practice Accurate documentation of time in the medical record serves two purposes to ensure quality patient care and to meet requirements for ... [ Read More ]
Resolve ambiguous rules and regulations to improve office morale. Have you ever provided education to a physician only for them to get angry because they were told something different by another educa... [ Read More ]
AAPC member Colleen Kolbeck CPC COC CPCO CDEO CPMA CPPM CRC CEDC AAPC Approved Instructor is a profee audit lead for AQuity Solutions. She has worked in medical coding and auditing for more than 10 ye... [ Read More ]
2023 ICD10CM update expands F01F03 code categories to allow providers to indicate disease stage and symptoms. The 2023 update to ICD10CM finally provided an expansion of the dementia codes which has b... [ Read More ]
[QUOTE="carrie.townsend@modahealth.com, post: 504265, member: 732844"]
I am sitting for my CPC exam on Saturday. There is a question in the Study Guide that has me stumped (and my two CPC colleagues ... [ Read More ]
I am sitting for my CPC exam on Saturday. There is a question in the Study Guide that has me stumped (and my two CPC colleagues too).
A 55-year-old patient is seen in an office visit by an otolaryng... [ Read More ]
It appears that the E/M guidelines for outpatient consult codes (99242-99245) are remaining the same. Do others agree, or does anyone know something else about this?... [ Read More ]
Hello and welcome to the forum REGINALD068!
Per AMA CPT book, Consultations follow similar E/M guidelines as New Patients when it comes to History, Exam and Medical Decision Making components. In fac... [ Read More ]
Hi y'all,
I am getting mixed answers to a question. If an ESTABLISHED patient comes into their family Dr and has to have a PREOP CLEARANCE is it ok to bill a consult code (99242--99245)??? I was alway... [ Read More ]
Hello Fellow Coders
I need some assistance with cross walking CPT codes. It was suggested that these codes below are ok to crosswalk one for one. However, I am not an expert in E&M coding. It was m... [ Read More ]
For the experienced billers, can you let me know what the difference in prices are for the new office consult codes 99241-99245 vs new office visit 99201-99205 along initial hospital care 99221-99223 ... [ Read More ]
[b]Consults[/b]
Karen, I hope the following helps.
You are right about the physician cannot treat the patient in any way, including medications. Otherwise, it is no longer a consult. However, they... [ Read More ]
Hello, rmukkadan
If the patient is in Observation Care, and was admitted by an Internal Medicine provider, the Gastroenterologist would need to bill the service under the office or other outpatient ... [ Read More ]