Consultations CPT® Code range 99242- 99255

The Current Procedural Terminology (CPT) code range for Consultations 99242-99255 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99242- 99255

October 02, 2023
The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
October 02, 2023
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October 02, 2023
Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
October 02, 2023
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October 02, 2023
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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 ]
[QUOTE="PriyanthaG, post: 202991, member: 173172"]Hi All, Can you please help me with pricing for following Consultation Codes; 99241-OFFICE CONSULTATION 99242-OFFICE CONSULTATION 99243-OFFICE CONSU... [ Read More ]
Hi All, Can you please help me with pricing for following Consultation Codes; 99241-OFFICE CONSULTATION 99242-OFFICE CONSULTATION 99243-OFFICE CONSULTATION 99244-OFFICE CONSULTATION 99245-OFFICE CON... [ Read More ]
According to the 2011 CPT Codebook, the guidelines for Psychiatry state as follows…. >Consultation for psychiatric evaluation of a patient includes examination of a patient and exchange of informati... [ Read More ]
The following codes require ROS 99202/99242 ROS 1 99203/99243 ROS 2-9 99204/99244ROS 4+ 99205/99245 ROS 4 + 99213 ROS 1 99214 ROS 2-9 99215 ROS 4+ For follow ups, If you are counting the history an... [ Read More ]
Here is the crosswalk posted by either Trailblazer or Noridian Medicare. I can't remember which website I was on when I found it. OFFICE CONSULTATION CODES INPATIENT CONSULTATION CODES ... [ Read More ]
[b]Not such a bad thing.[/b] [COLOR="Blue"]Yes, some specialty groups see this as a major issue. However, from a risk standpoint it is not a bad thing, especially for those practices that have a lar... [ Read More ]
[b]Combination of CPT and 95 or 97 guidelines[/b] Actually it's a combination of CPT and the 1995 [B]or[/B] 1997 guidelines. (For the PFSH section there is no difference from 1995 to 1997.) CPT tel... [ Read More ]