New Medicare Coding for Consultation Services
| Crosswalks for Emergency Department Consultations requiring admission of patient into inpatient facility | ||
| CPT Consultative Services Code | CPT E/M Codes for Crosswalking | Modifier Required |
| 99251 | 99221 (Inpatient Initial Visit, level 1) | Yes, you will need to append Modifier “AI” |
| 99252 | 99221 (Inpatient Initial Visit, level 1) or 99222 (Inpatient Initial Visit, level 2) |
Yes, you will need to append Modifier “AI” |
| 99253 | 99222 (Inpatient Initial Visit, level 1) | Yes, you will need to append Modifier “AI” |
| 99254 | 99222 (Inpatient Initial Visit, level 2) or 99222 (Inpatient Initial Visit, level 3) |
Yes, you will need to append Modifier “AI” |
| 99255 | 99223 (Inpatient Initial Visit, level 3) | Yes, you will need to append Modifier “AI” |
| Crosswalks for Inpatient Consultations | ||
| CPT Consultative Services Code | CPT E/M Codes for Crosswalking | Modifier Required |
| 99251 | 99221 (Inpatient Initial Visit, level 1) | Yes, referring physician (not you) will need to append Modifier “AI” |
| 99252 | 99221 (Inpatient Initial Visit, level 1) or 99222 (Inpatient Initial Visit, level 2) |
Yes, referring physician (not you) will need to append Modifier “AI” |
| 99253 | 99222 (Inpatient Initial Visit, level 1) | Yes, referring physician (not you) will need to append Modifier “AI” |
| 99254 | 99222 (Inpatient Initial Visit, level 2) or 99222 (Inpatient Initial Visit, level 3) |
Yes, referring physician (not you) will need to append Modifier “AI” |
| 99255 | 99223 (Inpatient Initial Visit, level 3) | Yes, referring physician (not you) will need to append Modifier “AI” |
