Reader Questions:
Tackle Consultations on a Payer-By-Payer Basis
Published on Mon Jul 26, 2010
Question: I am still a little confused about the consultation codes 99241- 99245 and 99251-99255. Are these codes deleted completely or are they still being used for private insurance? What codes should my doctor use for coding consultations?New Hampshire SubscriberAnswer: CPT did not delete consultation codes 99241-99245 (Office consultation for a new or established patient ...) and 99251-99255 (Inpatient consultation for a new or established patient ...) for 2010.The catch: Medicare is not recognizing, accepting, or paying on the consultation codes, however. Some private payers have followed suit. But some private payers are still paying on the consultation codes. You need to check with each individual insurance company to see what their policy is this year.Instead of reporting consultation codes, you would report new or established patient office visit (99201-99205, 99211- 99215, Office or other outpatient visit for the evaluation and management ...), initial (99221-99223, Initial hospital care ...) or [...]