<> endobj For the IP scenario only you would add modifier AI if your provider was the admitting and/or attending physician who oversees the patient's care, as distinct from other physicians who may be furnishing specialty care. endobj Where do I go for the definitive answer ? <>/Metadata 24 0 R/Pages 23 0 R/StructTreeRoot 26 0 R/Type/Catalog/ViewerPreferences 221 0 R>> A report is required. <> At first, most continued accepting the codes. Carol-Where did you here that CMS may be reconsidering? CMS is not planning on changing its policy on consultations. C CatchTheWind Guest If the documentation doesnt have a detailed history and detailed exam, then bill a subsequent hospital visit, rather than the initial hospital care services. 228 0 obj A Check Payer Policies for Consult Code Coverage, Tech & Innovation in Healthcare eNewsletter, Ask 3 Questions to Head Off 2010 Consult Problems. endobj xref
She has been a self-employed consultant since 1998. In the past, the codes 99221-99223 were used only for the admitting physicians, and the codes 99251-99255 were . Coding and Modifier Information endobj 0000004127 00000 n
You likely will not get paid for a consult requested by one of these professionals. 0000001096 00000 n
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1.4px;text-transform: none;}.uabb-dual-button .uabb-btn,.uabb-dual-button .uabb-btn:visited {font-size: 18px;line-height: 1.4px;text-transform: none;}.uabb-js-breakpoint {content:"default";display:none;}@media screen and (max-width: 992px) {.uabb-js-breakpoint {content:"992";}}@media screen and (max-width: 768px) {.uabb-js-breakpoint {content:"768";}}, Including updates on CPT and CMS coding changes for 2023.
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