Peco Code
Peco Code
How to Get Paid For Consulting When Medicare Eliminates Consultation Codes January 1, 2010
The CMS has released its final 2010 Physicians Fee Schedule. One of the most significant changes was the elimination of payment for consultation codes as of January 1, 2010.
This does not mean You Can no longer do consultative work, it just means that you will have to bill these services differently than you do now. Here are the facts regarding this new ruling and the potential impact on your practice.
1. Consultation codes 99241-99245 (outpatient/office) and 99251-99255 (inpatient) have been eliminated effective January 1, 2010. Telehealth consultation G-codes (G0425-G0427) will not be eliminated.
2. Starting January 1, 2010, CPT codes for new (99201-99205) or established (99211-99215) patients should be used to replace consultations in the office/outpatient setting.
3. Starting January 1, 2010, CPT codes in the inpatient hospital setting (99221-99223) should be used to replace inpatient consultation codes (99251-99255), and for nursing facility consultations use codes (99304-99306).
4. To distinguish the difference between the admitting physician of record from the consultants for initial hospital inpatient and nursing facility admissions, CMS will develop a modifier. Currently, modifier "AI" is for principal physician of record, however Medicare has not finalized the modifier to be used for consultations.
5. Medicare states that its changes are budget neutral. RVUs for all E/M codes have been increased in an attempt to offset the fees lost from the elimination of consultation codes. The increase in E/M payments is approximately 6% for outpatient/office codes and 2% for inpatient codes above 2009 levels.
An important note regarding commercial or private insurance. No information has been released by other third party payers regarding payment for consultation codes as of yet. However, if a patient has Medicare as a secondary payer, a decision will need to be made by the physician as to how you will report the consultation. Any consultation claim filed with a commercial insurer such as Blue Cross or Aetna who is primary using the eliminated consultation codes when Medicare is secondary would result in a denial for the secondary claim by Medicare. In those instances where Medicare is secondary, you may want to consider using the new guidelines as stated above for reporting consultation codes.
One more note. If you have not updated your enrollment information with Medicare since November 2003, you must do so by April 5, 2010. Although enrolled in Medicare, many physicians who are eligible to refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare provider enrollment, chain and ownership system (PECOS) and also contains the physician's national provider identifier (NPI).
About the Author
Jeff Roh owns Profast Billing Solutions, which offers physicians billing services. For more information on how providers can increase their revenue and cash-flow, visit http://www.profastbilling.com.
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Peco Streamline C55 Left Hand Curved Turnout w Electrofrog |  |
7 Bids | US $8.50 | 2h 42m |
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Peco Streamline On3 Narrow Gauge Code 100 Flex Track and Switches Lot | |
13 Bids | US $154.00 | 3h 15m |
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600 pieces of track 68 turnouts HUGE LOT code 100 SEE DETAILS HO On30 | |
18 Bids | US $127.51 | 7h 37m |
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Peco N code 55 streamline points turnouts | |
5 Bids | US $38.90 | 1d 13h 46m |
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BNIB Hornby BR Loco 4MT Class DCC Ready Bargain H0 00 | |
0 Bid | US $167.49 | 1d 16h 22m |
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BNIB Hornby Class 3F Loco Lined Maroon Livery H0 00 | |
0 Bid | US $40.52 | 1d 16h 28m |
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BNIB Hornby BR Loco Thompson B1 Antelope Class Sir Harold Mitchell H0 00 | |
0 Bid | US $145.88 | 1d 16h 32m |
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BNIB Hornby BR Fowler Class 2P Loco DCC Ready Bargain H0 00 | |
0 Bid | US $124.27 | 1d 16h 42m |
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BNIB Hornby Early BR Loco 4MT Class DCC Fitted Bargain H0 00 | |
0 Bid | US $189.11 | 1d 16h 51m |
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BNIB Hornby SDJR Fowler Class 2P Loco DCC Ready Bargain H0 00 | |
0 Bid | US $124.27 | 1d 17h 2m |
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Peco HOe HOn30 HO scale narrow gauge track electrofrog switches flex NEW | |
3 Bids | US $56.56 | 2d 7h 10m |
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N Scale LOT OF FIVE 5 PECO CODE 55 STREAMLINE ELECTROFROG TURNOUTS POINTS NEW | |
0 Bid | US $81.03 | 2d 11h 8m |
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2 HO SCALE CODE 100 NICKEL SILVER CURVED SWITCHES CROSSING INSULFROG BY PECO | |
2 Bids | US $20.50 | 2d 11h 24m |
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Peco Streamline N Gauge Code 80 SL E395 Medium Radius Right Hand Turnout | |
0 Bid | US $18.99 | 2d 14h 38m |
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PECO OO POINT UNDERLAYS LARGE RADIUS RIGHT HAND x6 12 | |
0 Bid | US $3.15 | 3d 2h 44m |
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PECO OO POINT UNDERLAYS LARGE RADIUS LEFT HAND x3 6 | |
0 Bid | US $3.15 | 3d 2h 45m |
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PECO OO POINT UNDERLAYS SMALL RADIUS RIGHT HAND 4 8 | |
0 Bid | US $3.15 | 3d 2h 46m |
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PECO OO POINT UNDERLAYS 5 x ASSORTED PACKS 10 | |
0 Bid | US $3.15 | 3d 2h 47m |
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PECO OO POINT UNDERLAYS SMALL RADIUS RIGHT HAND X 3 6 | |
0 Bid | US $3.15 | 3d 2h 48m |
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PECO OO POINT UNDERLAYS SMALL RADIUS RIGHT HAND X 6 12 | |
0 Bid | US $3.15 | 3d 2h 49m |
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PECO OO POINT UNDERLAYS SMALL RADIUS LEFT HAND X 3 6 | |
0 Bid | US $3.15 | 3d 2h 50m |
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PECO OO POINT UNDERLAYS LARGE RADIUS RIGHT HAND x4 8 | |
0 Bid | US $3.15 | 3d 2h 51m |
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Lot of PECO electrofrog turnouts Code 80 | |
0 Bid | US $110.00 | 3d 20h 28m |
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Lot of 11 Peco Streamline N Scale Nickel Silver Flex track with Rail Joiners | |
5 Bids | US $6.50 | 3d 20h 50m |
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ATLAS MODEL RR HO CODE 100 6pc 22 RADIUS NICKEL SILVER TRACKS 836 | |
0 Bid | US $9.99 | 4d 3h 41m |
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ATLAS MODEL RR HO CODE 100 SNAP TRACK 18 RADIAL TERMINAL SECTION 845 | |
0 Bid | US $5.00 | 4d 3h 41m |
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Peco SL 8300 HO Code 83 Flex Track box of 25 | |
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US $120.45 | 12d 9h 43m |
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Bachmann 0 6 0 Switcher PLUS code 100 Peco switch | |
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US $55.00 | 4d 5h 44m |
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PECO catch Derail code 100 left and right | |
0 Bid | US $8.99 | 4d 7h 13m |
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Peco DOUBLE SLIP SWITCH excellent condition | |
3 Bids | US $10.70 | 4d 10h 32m |
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Peco Streamline DOUBLE RADIUS RIGHTHAND CURVED TURNOUT 30r 60r exclnt cond | |
1 Bid | US $4.00 | 4d 10h 38m |
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Peco Setrack DOUBLE RADIUS RIGHTHAND CURVED TURNOUT 18r 20r exclnt cond | |
0 Bid | US $4.00 | 4d 10h 42m |
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Peco Setrack DOUBLE RADIUS LEFTHAND CURVED TURNOUT 18r 20r exclnt cond | |
0 Bid | US $4.00 | 4d 10h 45m |
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Peco Setrack DOUBLE RADIUS LEFTHAND CURVED TURNOUT 18r 20r great cond | |
0 Bid | US $3.00 | 4d 10h 50m |
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PECO CODE 55 N GAUGE RIGHT LEFT MEDIUM RADIUS ELECTROFROG TURNOUTS 1 EACH | |
0 Bid | US $19.99 | 4d 13h 8m |
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Peco {SL 96} LEFT HAND T O NO6 CD100NS INSULFROG YANKEEDABBLER | |
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US $19.99 | 17d 10h 17m |
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O scale turnouts lot of 4 | |
2 Bids | US $18.49 | 5d 1h 48m |
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PECO OO UNDERLAY SETRACK DIAMOND CROSSING 11 PIECES ST265 | |
0 Bid | US $7.91 | 5d 3h 51m |
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PECO OO UNDERLAY SETRACK Y POINT 12 PIECES ST262 | |
0 Bid | US $7.91 | 5d 3h 51m |
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T17 3 Peco HO OO Code 100 Crossings And Turnout NIB | |
0 Bid | US $29.95 | 2d 9h |
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Peco {SL 97} SMALL RADIUS Y CD 100NS INSULFROG YANKEEDABBLER | |
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US $18.99 | 17d 10h 17m |
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Peco HO SL 86 Code 100 Track Insulfrog Curved Turnout Right Hand | |
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US $17.50 | 19d 7h 58m |
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Peco Code 100 Insulfrog Nickel Silver SL 96 Medium Radius Left Hand Switch | |
1 Bid | US $10.00 | 6d 49m |
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Peco Code 100 Insulfrog SL 89 Large Radius Left Hand Switch | |
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US $17.50 | 5d 4h 7m |
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Peco SL 8361 HO Code 83 6 RH Turnout Insulfrog | |
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US $25.05 | 16d 22h 16m |
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PECO SL 388 N Large Radius Right Hand Insulfrog Code 80 | |
0 Bid | US $19.99 | 6d 11h 8m |
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20 pre wired oo gauge fishplates dcc dc rail joiners | |
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US $25.27 | 7d 7h 8m |
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Peco {SL 90} DOUBLE SLIP 12 Degree INSULFROG YANKEEDABBLER | |
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US $54.49 | 17d 10h 16m |
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Peco SL 8340 HO Code 83 Hayes Bumper 2 pack | |
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US $3.85 | 28d 23h 21m |
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Peco SL 8377 HO Code 83 7 LH Curved Turnout Insulfrog | |
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US $28.95 | 16d 22h 20m |
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Peco SL 8376 HO Code 83 7 RH Curved Turnout Insulfrog | |
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US $28.95 | 16d 22h 19m |
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Peco SL 8362 HO Code 83 6 LH Turnout Insulfrog | |
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US $25.05 | 16d 22h 18m |
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Peco SL 8314 HO Code 83 Track Fixing Pins | |
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US $2.65 | 16d 22h 4m |
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HO code 100 CURVED LEFT turnout insulfrog PecoST 245 | |
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US $24.99 | 23d 3h 3m |
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Peco Code 100 Insulfrog SL 99 Medium Radius Three Way Switch | |
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US $45.00 | 5d 4h 49m |
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Peco Code 100 Insulfrog SL 90 Double Slip Switch | |
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US $45.00 | 5d 4h 33m |
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N PECO code 80 Med WYE turnout Electrofrog SLE 397 | |
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US $16.25 | 27d 14m |
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Peco HO Insulfrog Code 100 Nickel Silver Short Crossing SL 93 24 Degree | |
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US $11.49 | 29d 7h 57m |
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Peco {SL 89} LEFT HAND T O NO8 CD100NS INSULFROG YANKEEDABBLER | |
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US $21.99 | 17d 10h 16m |
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Peco {SL 92} LEFT HAND T O NO4 CD100NS INSULFROG YANKEEDABBLER | |
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US $18.99 | 17d 10h 16m |
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Peco {SL 91} RIGHT HAND T O NO4 CD100NS INSULFROG YANKEEDABBLER | |
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US $18.99 | 17d 10h 16m |
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Peco SL 8310 HO Code 83 Conductive Rail Joiner 24 Pack | |
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US $4.10 | 16d 22h 1m |
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Peco {SL 8311} HO RAIL JOINERS CODE 83 YANKEEDABBLER | |
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US $4.99 | 17d 10h 14m |
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Peco Code 100 Insulfrog SL 88 Large Radius Right Hand Switch | |
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US $17.50 | 5d 3h 57m |
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Peco SL 8364 HO Code 83 6 Diamond Crossing Insulfrog | |
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US $26.15 | 22d 11h 24m |
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Peco HO OO SL100F Code 75 Track Wood Tie 36 Flex Track 2 pieces new | |
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US $8.49 | 6d 7h 58m |
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