Part B Announcement from CIGNA Government Services

 

New Medicare Learning Network (MLN) Matters Article Regarding "Questions and Answers on Reporting Physician Consultation Services"

The MLN Matters Special Edition Article #SE1010 entitled, "Questions and Answers on Reporting Physician Consultation Services," has just been released and is available at http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE1010.pdf on the CMS website.

This article is intended for physicians and non-physician practitioners (NPPs) who perform initial evaluation and management (E/M) services previously reported by Current Procedural Terminology (CPT) consultation codes for Medicare beneficiaries and submit claims to Medicare Carriers and/or Medicare Administrative Contractors (MACs) for those services. The article pertains to change request (CR) 6740, which alerts providers that effective January 1, 2010, the CPT consultation codes (ranges 99241-99245 and 99251-99255) are no longer recognized for Medicare Part B payment.

Consequently, MLN Matters Article #MM6740 entitled, "Revisions to Consultation Services Payment Policy," is being revised to clarify language contained in the original CR and to add a reference to MLN Matters Article #SE1010. All other information remains the same. The revised article is available at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6740.pdf on the CMS website.