Aetna sides with CMS against CPT on subsequent observation codes
Effective Jan 20, 2011
Published Jan 24, 2011
CMS won’t reduce your pay by making you bill CPT’s new subsequent observation codes when your doctor evaluates a patient that someone else placed under observation. But CPT has made it clear that its intention was for the new codes (99224-99226) to be used in this situation, despite the fact they pay about 40% less than the codes CMS instructs you to use for Medicare claims.
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