Aetna to stop paying for consultation codes
Aetna will no longer pay office consultation codes 99241, 99242, 99243, 99244 and 99245, starting with dates of service March 1 and beyond.
The company says claims submitted with these codes with a date of service on or after March 1 will be mapped to the appropriate office visit evaluation and management code (99202-99215) and paid at that rate. Claims won’t be denied or need to be resubmitted.
If you have any questions regarding this new policy, you can contact Aetna customer service (800-624-0756 for HMO and Medicare Advantage plans and 888-632-3862 for indemnity and PPO plans) or your Aetna Provider Relations liaison.
— Brennan Cantrell, commercial health insurance strategist, American Academy of Family Physicians
Posted on Feb. 21, 2021, by Brennan Cantrell
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Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.