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Thread: consult codes

  1. #1
    Join Date
    Apr 2007
    Warren Ohio chapter

    Default consult codes

    AAPC: Back to School
    it is my understanding that Medicare no longer pays on consults (example code 99253) how do you now code initial consultations for inhospital consults or any consultation

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    There is CMS transmission on this and many many post on this forum on this subject which I encourage you to look at. An inpatient consult will use the initial hospital (or initial nursing facility) visit codes with no modifier. The office or outpatient consults will be billed with regular new or establish patient visit levels.

    Debra A. Mitchell, MSPH, CPC-H

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