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Consult Codes

  1. #1
    Default Consult Codes
    Medical Coding Books
    I'm not sure what to do in this case. I wonder if anyone else has had this problem. I submitted an office consult (CPT 99244) to the patient's liability insurance (auto). After I received payment from them I submitted the balance to the patient's health insurance. The claim was denied because CPT 99244 is invalid. Can I resubmit a corrected claim using CPT 99204? I'm not sure if I can change the original code since we already submitted it to auto. I appreciate any assistance ahead of time.

  2. #2
    Columbia, MO
    Some will say yes change the code and some will say no. You need to make the decision on what you think is correct. I say no do not change the code as there is no true equivalent to the consult code.

    Debra A. Mitchell, MSPH, CPC-H

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