I work at a primary care office, but we have a neurologist starting. There's been discussion on billing office visits (9920-/9921-) vs consults (9924-). Apparently BCBS is the only one of our carriers who will cover consult codes, so the current plan is to bill consults to BCBS but office visits to everyone else. I understand the logic here, but it makes me uncomfortable to bill different codes for the same service based on which carrier will cover them. My instinct is that if they can be considered office visits, we should be billing them as office visits to ALL carriers. That said, I've never dealt with specialists and consults before, so I don't actually know if this could be considered more along the lines of the carriers WANTING a different code for the service. Thoughts?