Results 1 to 3 of 3

Medicare ED Consults

  1. #1
    Default Medicare ED Consults
    Exam Training Packages
    We are a cardiology/GI practice. Currently we are billing 99211-99215 & 99201-99205 for the outpatient ED Consults for Medicare due to the new rules. I was on a webinar yesterday and Medicare is saying to bill 99281-99285 instead of consultation codes for anyone not just the ED physician seeing a patient in the ED is this new?

  2. #2
    Location
    Sioux Falls South Dakota
    Posts
    358
    Default
    This was addressed in MLN Matters MM6740, and they are correct. "If the ED physician requests that another physician evaluate a given patient, the other physician should bill an emergency department visit code. If the patient is admitted to the hospital by the second physician performing the evaluation, he or she should bill an initial hospital care code and not an emergency department visit code."

    Cindy Mc
    CPC-P

  3. #3
    Location
    North Carolina
    Posts
    3,126

Similar Threads

  1. Medicare Consults
    By Cothran in forum E/M
    Replies: 1
    Last Post: 06-08-2015, 03:27 PM
  2. Medicare consults
    By aksockmonkey@gmail.com in forum Billing/Reimbursement
    Replies: 2
    Last Post: 02-18-2015, 03:23 PM
  3. Medicare Consults
    By cocosmoothj in forum E/M
    Replies: 1
    Last Post: 07-30-2010, 01:21 PM
  4. Medicare as second/consults?
    By CRC CPC in forum Medicare Regulations
    Replies: 5
    Last Post: 03-05-2010, 09:13 AM
  5. Consults/Medicare
    By krssy70 in forum E/M
    Replies: 10
    Last Post: 11-25-2009, 06:43 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.