tci Medicare Compliance & Reimbursement - 2010 Issue 3

CONSULT CODING QUIZ: ANSWERS: Check Your E/M Coding Skills With These Quiz Answers

Hint: Only look to unlisted E/M codes when your MAC specifically tells you to. How did you fare in our E/M coding quiz on page 21? Check your coding finesse with these four answers to the quiz questions.Answer 1: Consult 'Replacement Codes': If the physician performs a service that you previously would have billed as an inpatient consult, report 99221-99223 in place of 99251-99255, says Tammie L. Alberts, CPC, with Rockford Health Systems in Rockford, Ill. For outpatient consults, use either new or established E/M codes 99211-99215 or 99201-99205, she advises.Answer 2: Do Unlisted Codes Apply? Unless...

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