tci Part B Insider - 2010 Issue 9

CONSULTATION ELIMINATION: You Can Report Subsequent Hospital Care Codes for Initial Visits, CMS Says

New CMS policy puzzles many practices, makes others nervous. CMS has finally cleared up how you should bill initial hospital care when the level of service doesn't meet the requirements to bill 99221 -- and the answer is as clear as mud. One of the most pressing questions that practices had regarding the elimination of consultation codes was how to bill initial hospital care services that met the requirements for inpatient consult codes (which are no longer payable), but do not meet the criteria to bill the lowest initial hospital care code, 99221. Initially, MACs offered differing advice, with...

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