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Consultations with Medicare??

  1. Question Consultations with Medicare??
    Medical Coding Books
    Being that Medicare does not pay for consultations, how would I bill for a inpatient consultation? Dr (podiatrist) was called in by admitting physician to evaluate an ulcer on pt's foot.

  2. #2
    Hartford, CT
    Check with your medicare carrier. According to NGS J-13 we are to code Initial Hospital Visit, 99221-99223. The admitting physician uses and AI modifier.

  3. #3
    Manhattan, NY
    If you do a search on the Internet for "Consultation Codes_CMS Guidelines", you will find a pdf. It gives guidance from the Federal Register regarding CMS and Consultations. I tried attaching it, but the file was too large. Hope this helps! Only a couple pages, but good guidance.
    Last edited by hewitt; 06-21-2011 at 01:06 PM. Reason: complete the thought

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