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99243 vs 99203

Hello everyone, I work in a Pain Management facility. The doctor advsied me that we should not be billing 99243 (office consultation) which his former biller has been doing for years. He wants me to...

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Re: 99243 vs 99203

99243 is used to report consultations provided in the physician’s office or in an outpatient setting. In this case since it is an office consultation code , my take would be 99243 provided it has...

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Re: 99243 vs 99203

A referral is not necessarily a consult.Consult (99243): "Gee, I'm not sure what we should do about your problem, let's ask Dr. Feelgood, and see what he thinks."Referral (99203): "Ok, Mr. Brokeback,...

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Re: 99243 vs 99203

I wouldn't recommend using 99203 either. The E/M level is based on what is documented. You must select the E/M level based on this, and not use 99203 for every visit.I am finding something out about...

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Re: 99243 vs 99203

Thanks everyone,Now the question is should I switch to 99203? and will that put up a red flag with the insurance company I have been billing to.How should I do this?

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Re: 99243 vs 99203

I really hope you aren't just assigning 99203 to everything... It's up to the provider to assign the appropriate code based on medical necessity, services provided and documented. There's no way that...

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