Cardiology Coding Alert

Cross Consult Codes Off Your Medicare Options Jan. 1

ICD-9 may show why inpatient needs cardiologist and another MD. The 2010 fee schedule -- as expected -- confirms that for Medicare patients, you'll be skipping the 99241- 99255 (Consultations) section of CPT. With the loss of consult fees on the horizon, apply hese tips to boost your chances of capturing every E/M correctly the first time. Count Out Consults for Medicare Beneficiaries CMS has declared that consult codes are taboo for its patients: "Beginning January 1, 2010, we will eliminate the use of all consultation codes (inpatient and office/outpatient codes for various places of service except for telehealth consultation G codes) on a budget neutral basis by increasing the work RVUs [relative value units] for new and established office visits" and for initial hospital and initial nursing facility visits, the Medicare Physician Fee Schedule (MPFS) Final Rule notes. This decision means that in 2010, you will report an appropriate non-consult E/M [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Cardiology Coding Alert

View All