Medicare Inpt Consults - 99251 and 99252

Highmark Medicare provided a Weninar that suggested that 99251 and 99252 S/B codes as SHV (99231 and 99232) - anyone have documentation on that - agree or disagree?

Jan 23rd, 2010 -

Big debate!!

Read previous posts- I say no way- CMS says the first visit is an initial visit but others including the MACs are saying bill the first visit if it is a low level visit as a subsequent visit or use the unlisted code.
Reportedly CMS is going to say something official on this soon.