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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