Medicare Eliminates Consultation Code Billing

March 21, 2010

You should know by now, but in case your head has been in the sand, Medicare for 2010 has eliminated the use of all consultation codes (inpatient and office/outpatient codes) for various places of service except for telehealth consultation G-codes. CMS increased the work relative value units (RVUs) for new and established office visits, increasing the work RVUs for initial hospital and initial nursing facility visits, and incorporating the increased use of these visits into our practice expense PE and malpractice calculations. CMS also increased the incremental work RVUs for the evaluation and management (E/M) codes that are built into the 10-day and 90-day global surgical codes. If you bill consultation codes and have not read the CMS transmittal, do so immediately so you can make sure you bill your services correctly to Medicare. Here is the link.

http://www.cms.hhs.gov/Transmittals/downloads/R1875CP.pdf

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