Medicare Medical Billing
We specialize in Medicare Medical Billing and Medicare Claim Submissions nationwide
2010 Medicare Consultation Codes Conversion
Medicare has eliminated consulting codes effective January 1, 2010. Providers may still be paid for consulting, however the way you will submit your claim will be different. To make the elimination of consultation codes less confusing, we have provided a chart on this page to help you convert the old code to the new code. Commercial/private insurances have not released their rules as of yet, so continue to bill the same.
Outpatient/Office Setting
| Eliminated Code | Replace With (New Patient) |
Replace With (Established Patient) |
| 99241 | 99201 | 99211 |
| 99242 | 99202 | 99212 |
| 99243 | 99203 | 99213 |
| 99244 | 99204 | 99214 |
| 99245 | 99205 | 99215 |
Hospital/Inpatient Setting
| Eliminated Code | Replace With (Hospital/Inpatient) |
Replace With (Nursing Facility) |
| 99251 - 99255 | 99221 - 99223 | 99304 - 99306 |
Telehealth Consultation
| G0425-G0427 - no change |
For Hospital/Inpatient settings, the admitting or attending physician will also need to bill with modifier "AI".
Also, if you have not updated your information with Medicare in since November 2003, you must do so in order to refer to other Medicare providers. In order to update with Medicare's PECOS system, click here.
- Back to the main Electronic Claims Filing and Medical Billing page
- View the Services Offered with Outsourcing your Medical Claims Filing and Medical Billing
- View the Benefits of Outsourcing your Electronic Medical Claims Filing and Medical Billing
- View the Real-Time Insurance Eligibility Verification Service
- Medical Billing Outsourcing vs. In-house cost comparison
- Medical Billing Pricing
- Take a look at our EMC Savings Calculator
- Electronic Medical Claims Processing and Medical Billing FAQ
|
|
Print our PDF brochure for more information |
Make sure to contact us today to speak with a representative regarding our medical billing service.
