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Emergency Department consults with Medicare as prime

  1. #21
    Evansville Indiana
    Default consult
    Medical Coding Books
    NGS has advised to use subsequent visits. However I understand that CMS is supposed to be giving guidance on this very issue in "the near future" (whatever that means to them).

  2. Smile
    If after the ER doc treats the pt and bills 99285 the pt is admitted. Should you bill 99285 in POS 21?

  3. #23
    Default consult
    Are you allowed to bill a consult for a Medicare patient?

  4. #24
    Hi Leigh,
    Medicare no longer recognizes CPT 99242-99245 as of 2010. Can you give us the scenario?
    Teresa Kelley, CPC
    Detroit, MI AAPC Chapter member

  5. #25
    I see this thread was started back in 2010. Can someone please refer me to the any guidelines on whether this is still accurate for billing ER consultations with the ER CPT codes for 2016?

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