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Thread: Consultation confusion

  1. #1

    Default Consultation confusion

    AAPC: Back to School
    I just read an article in a coding magazine that suggested if a pain consult was done for an IN patient the codes should be 99231. That is a subsquent care code. This is the first time the anesthesiologist has seen this patient. This is a medicare patient. Why wouldn't the 9922 codes be used? Can some one please explain?

  2. #2
    Join Date
    Apr 2007
    North Carolina


    If this is a consultation per se and 1st time initial, inpatient visit, Medicare does instruct providers to report 99221-99223; assuming the documentation supports these levels. It's possible this is a misprint or it's possible that they were trying to convey what to do in the event the documenation does not support 99221 and left out some important information.

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