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Orthopedic Coding Alert

E/M Coding:
Observe Different Rules for Medicare, Private Payer Consults

You can't use CPT® codes for Medicare consults. When your orthopedist is called for a consultation service, make sure you know the specifics of the encounter before deciding how to choose your codes. Reason: To qualify as a consult, a service has to meet several guidelines, or your claim could be rejected. Further, Medicare and private payers have some pretty [...]