• 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 Codes for Aetna

Create Wiki
M

missyah20

Expert
Messages
254
Location
Waconia, MN
Best answers
0
Good Morning,
Does anyone know if Aetna is still accepting Consultation codes? I haven't seen anything that states that they have stopped accepting them.

I have billed an outpt consult with code 99243 and have received the denial "Submit using a E&M code appropriate for service."

Has anyone else had this denial?

Thanks for the help!
 
Missy, from what I've discovered if it's Aetna typical commercial plans, then I think the consult codes are still good to go. But if it involves their MCR advantage type plans, then NO, do not as they follow MCR guidlines. And IF AETNA renounced the consult codes, my guess would be that it was done starting the the first of the year. Maybe some others will comment as I'm just not 100% positive...
---Suzanne E. Byrum CPC
 
You must log in or register to reply here.
Top