CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 1875 Date: December 14, 2009 Change Request 6740 SUBJECT: Revisions to Consultation Services Payment Policy I. SUMMARY OF CHANGES: In the calendar year 2010 physician fee schedule final rule with comment period (CMS-1413-FC) CMS budget neutrally eliminated the use of all consultation codes (inpatient and office/outpatient codes) for various places of service except for telehealth consultation G-codes. CMS increased the work relative value units (RVUs) for new and established office visits, increasing the work RVUs for initial hospital and initial nursing facility visits, and incorporating the increased use of these visits into our practice expense PE and malpractice calculations.

evaluation shall in the inpatient hospital setting and nursing facility setting bill an initial hospital care visit code (CPT code 99221 – 99223) or nursing facility care visit code (CPT99304 – 99306). X X X 6740.6 Contractors shall employ the "MLN Matters" article, to educate physicians that the physician who oversees the

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  Evaluation, Facility, Visit

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