Urology Coding Alert

CPT 2010 Update:

Fee Schedule Changes May Stall Your Consult Pay

CPT Codes 2010 leaves the codes untouched -- but that doesn't mean you'll get paid. Although CMS has proposed halting payment for the in-office consultation codes (CPT 99241 -CPT 99245 , Office consultation for a new or established patient ...) and inpatient consultation codes (99251-99255, Inpatient consultation for a new or established patient ...) in 2010, the AMA chose not to delete them, keeping them in the CPT manual for another year. Here's how your practice will be affected. Keep an Eye on Private Payers Who May Follow Medicare's Lead The fact that the consult codes appear in CPT 2010 does not mean payers will actually cover the services next year. In fact, Medicare published the final rule on the fee schedule and adopted the proposal to no longer pay for the consultation codes. Private payers may also follow suit and eliminate consultation payment. "We will have to watch other [...]
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