New Medicare Coding for Consultation Services

Crosswalks for Office/Outpatient Consultations

CPT Consultative Services Code CPT E/M Codes for Crosswalking Modifier Required
99241 99201 (new patient level 1) or 99211
(established patient level 1)
No
99242 99202 (new patient level 2) or 99212
(established patient level 2)
No
99243 99203 (new patient level 3) or 99213
(established patient level 3)
No
99244 99204 (new patient level 4) or 99214
(established patient level 4)
No
99245 99205 (new patient level 5) or 99215
(established patient level 5)
No
Crosswalks for Emergency Department  Consultations not requiring admission of patient into inpatient facility


CPT Consultative Services Code CPT E/M Codes for Crosswalking Modifier Required
99241 99281 (ER visit level 1) No
99242 99282 (ER visit level 2) No
99243 99283 (ER visit level 3) No
99244 99284 (ER visit level 4) No
99245 99285 (ER visit level 5) No