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 |