Practice Management Alert

Watch for Private Payer Consult Differences

You may have multiple ways of reporting your doctor's services. CPT did not eliminate the consultation codes, which could be troublesome for your coding know-how. "CPT still recognizes the codes, and they will be in the 2010 CPT book," says Leah Gross, CPC, coding lead at Metro Urology in St. Paul, Minn. "Medicare is just not recognizing them. So far, we haven't been able to get word from any other insurance," she adds. So far it seems that most private payers are still recognizing consultation codes for 2010. As of early January, many directives still remain unsettled, however. The potential for differing rules between CMS and private payers could spell trouble. "We are going into Dante's Inferno for 2010," says Barbara J. Cobuzzi, MBA, CPC, CENTC, CPC-H, CPC-P, CPC-I, CHCC, president of CRN Healthcare Solutions and Senior Coder and Auditor for The Coding Network. "We will have to manage who [...]
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