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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT® Assistant Q&A addresses how follow-up inpatient consultation services were handled after 2006 coding changes. It is relevant to coders, billers, compliance staff, and clinicians working with hospital and nursing facility E/M documentation. The article discusses the policy context, the affected consultation code categories, and the general direction for reporting services in different care settings.

Why This Topic Matters

Understanding these 2006 changes helps ensure evaluation and management services are reported using the correct code family for the site of service and documentation context. It also clarifies how the AMA described the transition away from certain follow-up consultation codes.

Article Sections

  1. May 2006 page 16a

    This section identifies the publication context and presents the Q&A format used to discuss evaluation and management services guidance.

  2. Evaluation & Management Services: Follow-up Consultations, 99231 (Q&A)

    This section covers the follow-up consultation topic, the coding update timeframe, and the service settings addressed in the guidance.

What You Will Learn

  • The 2006 evaluation and management guidance discussed in the article
  • The service settings addressed by the follow-up consultation Q&A
  • The general coding categories involved in inpatient and nursing facility follow-up care
  • The role of the AMA commentary in explaining the coding update

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practices
  • Hospital coding teams
  • Nursing facility coding teams

Codes Discussed

Code Ranges Discussed


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