Eliminating Consultation Codes?

by  Christine Woolstenhulme, QCC, CMCS, CPC, CMRS
October 10th, 2019

There are a few payers that have joined with CMS in discontinuing payment for consultation codes. Most recently, Cigna stated that, as of October 19, 2019, they will implement a new policy to deny the following consultation codes: 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254 and 99255.

United Healthcare announced they will eliminate the codes in two-phases depending on the date of the contract with the provider.  The final date being October 19, 2019, eliminating codes for all practices. 

References:

Eliminating Consultation Codes?. (2019, October 10). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/eliminating-consultation-codes-35810.html

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