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consultation

SuperCoder Posted Tue 27th of March, 2012 20:05:28 PM

for a gastro billing how often can we bill a consultation code 99241-99255?

SuperCoder Answered Tue 27th of March, 2012 20:11:18 PM

You can't use the Consultation codes for Medicare patients.If no other provider of the same specialty in your practice has provided any face-to-face service to the patient in the last three years, you bill a New Patient visit (99201-99205). If the patient has been seen within the last three years, you bill an Established Patient visit (99211-99215)

For private payors--Each individual payor will have their own policy on the use of the Consultation codes. If you have not been notified, it is advised that you check with the payor prior to billing the Consultation codes.

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