![]() See E/M changes for 2021 for additional E/M related resources. Category of code for payers that don’t recognize consult codes.One colleague said, “This may be the final nail in the coffin for consult codes.” I wish it weren’t so, but it may be. This adds to confusion for what needs to be documented to meet the level of service. However, in 20 not only are the time thresholds different for consult codes, consult codes use the 19 guidelines and office visits use the new E/M guidelines. The advantages to using the consult are codes are twofold: they are not defined as new or established, and may be used for patients the clinician has seen before, if the requirements for a consult are met and they have higher RVUs and payments. ![]() Outpatient consultations (99241-99245) and inpatient consultations (99251-99255) are still active CPT ® codes, and depending on where you are in the country, are recognized by a payer two, or many payers. CMS stopped recognizing consult codes in 2010.
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