Advanced Search

Orthopedic Coding Alert

E/M Coding:

Observe Different Rules for Medicare, Private Payer Consults

Published on Tue Mar 06, 2018

You can't use CPT® codes for Medicare consults. When your orthopedist is called for a consultation service, make sure you know the specifics of the encounter before deciding how to choose your codes. Reason: To qualify as a consult, a service has to meet several guidelines, or your claim could be rejected. Further, Medicare and private payers have some pretty [...]
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Orthopedic Coding Alert

View All