Medicare Eliminates Physician Consultation Codes for 2010


The CMS has released on November 25, 2009 its final 2010 Physicians Fee Schedule. One of the most significant changes was the elimination of payment for consultation codes as of January 1, 2010.

This does not mean physicians can no longer do consultative work, it just means that they will have to bill these services differently than they do now witht the use of E&M codes (Evaluation and Management).

1. Consultation codes 99241-99245 (outpatient/office) and 99251-99255 (inpatient) have been eliminated effective January 1, 2010.  Telehealth consultation G-codes (G0425-G0427) will not be eliminated.
2. Starting January 1, 2010, E&M CPT codes for new (99201-99205) or established (99211-99215) patients should be used to replace consultations in the office/outpatient setting.

EVALUATION & MANAGEMENT SERVICES GUIDE
MEDICARE/CMS PRESS RELEASE
READ THE FINAL RULE HERE
MORE FROM THE WEB HERE

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