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Thread: 99202/99242

  1. #1

    Exclamation 99202/99242

    AAPC: Back to School
    Am I able to code both of these for one visit without a modifier, or at all?!?

  2. #2
    Join Date
    Apr 2007
    Lauderdale Lakes


    Why would you bill both of these?

  3. #3


    That is how my provider wants to do it, but it didnt make sense to me to do it that way.

  4. #4
    Join Date
    Apr 2007
    Lauderdale Lakes


    Its one or the other. A consult is when a doctor (normally a primary physician) refers the patient to a specialist. The specialist will examine the patient and is supposed to send a consult note back to the primary stating what his recomendations are. If the specialists starts any treatment on that patient then it is no longer a consult and then you would bill a new patient. You cant bill both.

    Also alot of insurance companies are not accepting the consult codes anymore.

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