Neurosurgery Coding Alert

Brace yourself for coding consult alternative

New rule means simpler coding, but less pay. The rumor about consultation codes becoming obsolete in 2010 became official when the CMS Final Rule was published on Oct. 30. Starting Jan. 1, 2010, CMS will no longer pay physicians for codes in the 99241-99245 (Office consultation for a new or established patient ...) or 99251-99255 (Inpatient consultation for a new or established patient ...) series. Get Ready for Lower Pay -- Maybe "This will be budget neutral to CMS but not necessarily to your practice," says Betsy Nicoletti, MS, CPC, founder of Medical Practice Consulting in Springfield, Vt. Here's how she and other experts explain the bottom-line changes: • CMS will increase the relative value units (RVUs) for new and established patient visits by 6 percent. • CMS will increase the RVUs for initial and subsequent hospital visits by 2 percent. • The increases are positive on the surface, but might [...]
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

Neurosurgery Coding Alert

    View All