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Physician Consultation Codes No Longer Valid for Medicare
In December 2009, the Centers for Medicare & Medicaid Services (CMS)
issued Change Request (CR) 6740 instructing that as of January 1, 2010,
Current Procedural Terminology (CPT) consultation codes 99241-99245 and
99251-99255 are no longer valid for Medicare Part B billing. Because
this affects Part A billing as well, CMS will be issuing a separate CR
to address Part A billing as it relates to these services. In the
interim, hospices should look to CR 6740 for instructions (excluding those
related to the use of an “AI” modifier) as to how to bill for
these services. CR 6740 is available at: http://www.cms.gov/transmittals/downloads/R1875CP.pdf
CMS LearnResource: 201002-42
Page last updated: February 25, 2010
