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Medicare Eliminates Consultation Codes

Monday, January 11th, 2010

CMS (Centers for Medicare and Medicaid Services) announced the elimination of consult codes. Officially released and documented in Change Request “CR 6740″as of January 1, 2010 consult codes will be eliminated from the Medicare fee schedule. Medicare will no longer recognize or pay for services billed with consult codes 99241-99245 or 99251-99255.

CR6470 impacts only Medicare claims as of January 10th 2010, Medicare Advantage plans are likely to follow the Medicare rules. Medicare claims will not use consult codes, while private payers will (for now.) Verification of patient insurance prior to the physician visit is more critical than ever.


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