Home | 3/22/2018 Issue | Article

Some payers accept consult codes — but be sure that’s what you did

Published Mar 26, 2018
Last Reviewed Mar 22, 2018
Question: For new patients who are not on Medicare, our office uses the office consultation codes 99241-99245 if referred by a doctor and 99201-99205 if self-referred. The E/M criteria are met for time, history and exam for all codes. Is our use of the consultation codes correct? Is it commercial carrier dependent?
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