2006 code changes: Confirmatory and follow-up inpatient codes to disappear from 2006 CPT codes

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

Article Overview

This article reviews scheduled 2006 CPT evaluation and management changes that affect consult-related services and nursing facility reporting. It is intended for coders, billers, compliance staff, and physicians who need to understand which E/M service categories are being revised, how those changes relate to Medicare billing concepts, and what broad documentation and claim-handling issues may arise.

Why This Topic Matters

The article helps readers identify which E/M service categories are changing and why those changes matter for reimbursement, compliance, and day-to-day claim selection. It is especially relevant for practices that bill consults, inpatient follow-up services, or nursing facility visits.

Article Sections

  1. Overview of the 2006 E/M changes

    Introduces the scope of the upcoming E/M revisions and the general billing impact on consult-related and nursing facility services.

  2. Confirmatory consult changes

    Discusses the retirement of the confirmatory consult family and the broader transition away from that reporting category.

  3. Follow-up inpatient consult changes

    Covers the elimination of the follow-up inpatient consult family and the related shift in how inpatient E/M services may be reported.

  4. Denial rates for confirmatory and inpatient follow-up consults 2004

    Presents historical claims and denial-rate data for the affected consult categories.

What You Will Learn

  • Which broad E/M service categories were slated for change in 2006
  • How consult-related reporting was being discussed in relation to Medicare and other payers
  • What types of nursing facility and inpatient E/M categories were part of the update
  • Why historical claims data was included in the discussion

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physicians
  • Practice managers

Codes Discussed

Code Ranges Discussed

  • CPT: 99271–99275
  • CPT: 99261–99263
  • CPT: 99251–99255
  • CPT: 99231–99233
  • CPT: 99201–99205
  • CPT: 99211–99215

Modifiers Discussed


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