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Thread: "Crosswalk" Out/pt Consults to Est pt visit's

  1. #1
    Join Date
    Apr 2007
    Colorado Springs, CO

    Default "Crosswalk" Out/pt Consults to Est pt visit's

    AAPC: Back to School
    Since Medicare had decided to not allow consults. Does anyone have any ideas for coding those visit's that would have been consults, but are now est pt visits?

  2. #2
    Join Date
    Apr 2007
    Phoenix, AZ


    Here is the crosswalk posted by either Trailblazer or Noridian Medicare. I can't remember which website I was on when I found it.


    99241 99201 50% 99251 99221 70%
    99211 50% 99304 30%
    99242 99202 50% 99252 99221 35%
    99212 50% 99222 35%
    99243 99203 50% 99304 15%
    99213 50% 99305 15%
    99244 99204 50% 99253 99222 70%
    99214 50% 99305 30%
    99245 99205 50% 99254 99222 35%
    99215 50% 99223 35%
    99305 15%
    99306 15%
    99255 99223 70%
    99306 30%

    Hope it helps. By the way, Traiblazer is hosting some webinars January regarding the new consult regulations. Here is the website: https://www.highmarkmedicareservices...nar/index.html. We are in the Noridian region and I attended a Highmark webinar this month, so please sign up for one. We all need the help, unfortunately. They also give free AAPC CEUs for attending as well.

    Good luck to us all!!
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Join Date
    Apr 2007
    Phoenix, AZ


    Okay, that didn't work. You can send a message to my email: callen@azheart.com. I will have a new email address after Jan 4th but can't remember it. If you post your email here after Monday, I will send the crosswalk to you.

    Happy New Year, everyone!!
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  4. #4
    Join Date
    Apr 2007
    Columbia, MO


    my understanding from reading the transmittal is that there is no crosswalk. You have the criteria for a 99201-99205 or 99211-99215 and that is the criteria that must be met. Consults are out so there is no valid crosswalk as there has been no newly created codes. I cannot imagine any kind of a crosswalk that could work, it is either going to meet the stated criteria for the level chosen or it does not, so for inpatient what would have been a consult must meet the criteria of a level 1-3 initial visit.

    Debra A. Mitchell, MSPH, CPC-H

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