Copyright 2023, CodingIntel In 2023, codes 99241 and 99251 are deleted. 0000002393 00000 n 0000003617 00000 n [278 0 0 0 0 0 0 0 333 333 0 0 278 333 0 278 556 556 556 556 556 556 556 556 0 556 333 333 0 0 0 0 0 722 722 722 722 0 0 778 722 0 0 0 0 833 722 778 667 778 722 667 611 722 667 0 0 0 0 0 0 0 0 0 0 556 611 556 611 556 333 611 611 278 0 556 278 889 611 611 611 0 389 556 333 611 556 778 0 556] 0000013094 00000 n Remember, Medicare does not accept consultation codes and nothing changes for Medicare in 2023; the consultation codes in the Medicare fee schedule continue to have an Invalid code status. However, they should be reported if a decision to accept transfer of care can't be made . 0000001415 00000 n Furthermore, the differential cost to Medicare of these codes over those for new patient evaluation and management codes is over half a billion dollars per year., consult codes have changed to other E&M codes. Medicare stopped recognizing and paying consult codes, but consults are still requested and provided to inpatients every day. Im particularly pleased with the fact that we had so much notice when they finally decided to go ahead and do it; issues galore. Services initiated by a patient and/or family and not requested by a physician or other appropriate source should not be reported using CPT consultation codes 99241-99245 or 99251-99255 or HCPCS consultation codes G0406-G0408 or G0425-G0427, but may be reported using appropriate office visit, hospital care, home service or domiciliary/rest home 0000002225 00000 n 0000028543 00000 n Medical coding resources for physicians and their staff. 219 0 obj #3. <<878261B3EBB5B2110A00B0933B5DFE7F>]/Prev 149677/XRefStm 1415>> Its important to note, however, that this change in coverage applies to public health plan options only. These two low level consult codes were rarely used. These two low level consult codes were rarely used. If you provide consultations to Cigna members, be aware that Cigna will soon no longer pay those codes. For patients seen in the emergency department and sent home, use ED codes (9928199285). 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