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Pricing for Consultation Codes

  1. Default Pricing for Consultation Codes
    Medical Coding Books
    Hi All,

    Can you please help me with pricing for following Consultation Codes;

    99241-OFFICE CONSULTATION
    99242-OFFICE CONSULTATION
    99243-OFFICE CONSULTATION
    99244-OFFICE CONSULTATION
    99245-OFFICE CONSULTATION
    99251-INPATIENT CONSULTATION
    99252-INPATIENT CONSULTATION
    99253-INPATIENT CONSULTATION
    99254-INPATIENT CONSULTATION
    99255-INPATIENT CONSULTATION

    Thank You.

  2. #2
    Location
    Baton Rouge
    Posts
    1,239
    Default
    Quote Originally Posted by PriyanthaG View Post
    Hi All,

    Can you please help me with pricing for following Consultation Codes;

    99241-OFFICE CONSULTATION
    99242-OFFICE CONSULTATION
    99243-OFFICE CONSULTATION
    99244-OFFICE CONSULTATION
    99245-OFFICE CONSULTATION
    99251-INPATIENT CONSULTATION
    99252-INPATIENT CONSULTATION
    99253-INPATIENT CONSULTATION
    99254-INPATIENT CONSULTATION
    99255-INPATIENT CONSULTATION

    Thank You.

    What type of pricing are you looking for?
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. Default
    Hi Meagan,
    Since Medicare is not paying for consultation codes, We need to bill the commercial carriers. For that we need to fix the allowable amount. Can you please help me with this.

    Thank You.

  4. #4
    Location
    Baton Rouge
    Posts
    1,239
    Default
    That should be part of your contract with each individual payer, and since it varies from provider to provider, I'm afraid I can't help with that. Some of them you may be able to find when you log in on their website (UHC and BCBS), but some you will have to contact your provider rep, or possibly someone in your admin dept may be able to help you.
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  5. Default
    Thank you Meagan.

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