Consultation Codes are Going Away

by AJ Riviezzo and Cheryl Nash
The consultations codes are 99241 through 99245 (sometimes known as 9924X). These codes will not be invalid but will pay zero beginning the first of the new year with Medicare as the payer.

Many commercial plans do not immediatly follow the Medicare changes. You may want to contact your commercial plans to see if/when they will stop allowing these codes. I would also ask if they will be increasing reimbursement for the 9920X codes by 6% as Medicare is projected to be doing to offset the loss of revenues.

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