AMA CPT® Assistant - 2006 Issue 5 (May)

Evaluation and Management Services: Follow-up Consultations (May 2006)

May 2006 page 16a Evaluation & Management Services: Follow-up Consultations, 99231 (Q&A) Question We have been told by our thirdparty payer that the CPT codes for follow-up inpatient consultations have been deleted for 2006. How do we report these services? AMA Comment The follow-up inpatient consultation codes 99261-99263 have been deleted with instructions to report the subsequent hospital care codes (99231-99233) or the subsequent nursing facility care codes (99307-99310) depending on the site of service. It was determined that the inpatient consultation codes were redundant and that other more specific E/M codes would be more appropriately reported. The...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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