Here’s a brief summary of what to expect and which codes to use.  There has been no word yet from commercial carriers on what their position will be with the provisions.  This is something to give some consideration if Medicare is the secondary payer on claims as you may end up with a denial on the Medicare portion due to the change of coding.

1. Consultation codes 99241-99245 (outpatient/office) and 99251-99255 (inpatient) have been eliminated. Tele-health consultation G-codes (G0425-G0427) will not be eliminated.

2. Use codes for new (99201-99205) or established (99211-99215) patients to replace consultations in the office/outpatient setting.

3. Codes in the inpatient hospital setting (99221-99223) should be used to replace inpatient consultation codes (99251-99255), and for nursing facility consultations use codes (99304-99306).

4. To distinguish the difference between the admitting physician of record from the consultants for initial hospital inpatient and nursing facility admissions, Medicare will develop a modifier. Check with your local carrier for more information.

5. Payments for all Evaluation and Management codes have been increased in an attempt to offset the fees lost from the elimination of consultation codes.

The full article can be read at the link below.

 http://ezinearticles.com/?Medicare-Eliminates-Consult-Codes—What-Now?&id=3370768