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Thread: Provider Based Billing Consultations

  1. #1

    Default Provider Based Billing Consultations

    AAPC: Back to School
    I do the coding for 5 hospital owned family practice clinics. As of November 1st we are starting to code/charge as Provider Based clinics. Which means I will now start to facility code allong with professional. I thought I heard or read somewhere that Medicare was no longer recognizing the consultation 99241-99245 codes on the facility side. Has anyone out there heard that too or am I way off base? I know that I can still code the consults on the professional side but thought on the facilty side it changed to just using the office call level E/M codes 99201-99205 and 99211-99215 when a consultation service is renderred. Any help or information regarding this is greatly appreciated.

  2. #2


    Hi. That is correct, changed a while back. I do not have the exact date.

  3. #3


    Thank you! I started to second guess myself and needed some reasurance but I can't seem to find any documentation on it. So, thank you so much for your reply.

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