• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Consultation coding

Create Wiki
L

LMOuellette

Guest
Messages
39
Location
Westland, MI
Best answers
0
Good Morning, I am in desperate need of some assistance. I am currently a coding student, however I have been billing/coding for about 5 years. It is my understanding that consultation codes are invalid and have been since 2012. However according to my coding instructor this only applies to medicare. Can any confirm or deny this information? Thank you in advance
 
lpowell67 said:
Good Morning, I am in desperate need of some assistance. I am currently a coding student, however I have been billing/coding for about 5 years. It is my understanding that consultation codes are invalid and have been since 2012. However according to my coding instructor this only applies to medicare. Can any confirm or deny this information? Thank you in advance
Click to expand...

Your instructor is correct. "Consultation" E/M codes (99241-99245, 99251-99255) are still valid codes found in the current CPT book. MEDICARE, and a lot of other government payers, and some commercial payers, chose to stop allowing these codes several years ago (I believe as of 2010) because this codeset was often misused. Each payer should have their policy stating whether or not they continue to accecpt Consultation codes in writing.

Hope this helps!
 
You must log in or register to reply here.
Top