Low Level "Consult" coding- I give up

So CMS published its Q&A on coding consults. And they maneuvered their way around their own previous publications by saying that low level hospital "consults" should be billed using the documentation to determine level and that subsequent hospital codes can be used even if it is the initial visit.

Good luck to all you coders out there! What a nightmare!

http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE1010.pdf