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Medicare will not pay for Consulting

Effective January 1st 2010, Medciare will no longer reimburse physicians for consulting services (CPT codes 99241 through 99255).  Physicians will have to adjust their coding to reflect Medicare’s new rules. 

There is a good article on Medical Coding Pro’s blog that will help.

Or you can read the official Medicare Claims Processing Manaual changes.

SBG is evaluating these changes and will be incorporating adjusted fees in our next Fee Schedule update.  The changes will impact consulting codes, admission codes,  and the standard office visit codes.

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