tci E/M Coding Alert - 2021 Issue Q4

Coding Quiz Answers: Are You an E/M Expert? Get Your Answers Here

Rely on your MAC when deciding whether to use an unlisted E/M code. Compare your choices to the answers below! Question 1: Consider ‘Replacement Codes’ in Consultation Situation If the physician performs a service for a Medicare patient that you would bill as an inpatient consult for a non-Medicare one, you should report 99221-99223 in place of 99251-99255. For outpatient consults, you should use either new or established E/M codes 99211-99215 or 99202-99205 (Office or other outpatient visit …). Question 2: Know Whether Unlisted Codes are Appropriate Unless the advice comes from a Medicare carrier, you should...

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