AHA Coding Clinic® for HCPCS - 2010 Issue 1; FOR your INFORMATION

Consultation Services

Effective January 1, 2010, the CPT codes for office consultation services (99241-99245) and the inpatient consultation services (99251-99255) are no longer recognized for Medicare Part B payment under the Physician Fee Schedule. In addition, effective on the same date, these codes will not be recognized for Method II Critical Access Hospitals when billing for services of those physician and non-physician practitioners who have reassigned their billing rights. Refer to Change Request #6740, released December 14, 2009 for additional information. Note: Please do not confuse this information with facility reporting. Under the hospital outpatient prospective payment system (OPPS), since CY...

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