Consult code

Primary payer is AETNA/BCBS. Medicare is secondary.What to do if consult code is marked?

Two choices

1- Submit the consult to the commercial insurer and when the EOB comes back, change the code to the appropriate non-consult visit code (by reanalyzing the documentation to see what code fits) to submit to CMS.
2- Bill the whole thing with a non-consult code to both insurers.