Date Posted: Friday,
November 15, 2019
There are a few payers that have joined with CMS in discontinuing payment for consultation codes. Most recently, Cigna stated that, as of October 19, 2019, they will implement a new policy to deny the following consultation codes:
99241,
99242,
99243,
99244,
99245,
99251,
99252,
99253,
99254 and
99255.
United Healthcare announced they will eliminate the codes in two-phases depending on the date of the contract with the provider. The final date being October 19, 2019, eliminating codes for all practices.
References: The Rheumatologist, FPM
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