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Provider
New Prior Authorization Requirements and Forms effective January 1, 2010
BILLING ALERT - Elimination of Consultation Codes
Effective January 1, 2010 CMS will eliminate the use of all consultation CPT/HCPC codes. This includes inpatient codes (99251-99255)
and office/outpatient codes (99241-99245) for various places of service, except for telehealth consultation G-codes. Instead of
consultation codes, providers are instructed to bill initial hospital care (99221-99223), initial nursing facility care (99304-99306)
or initial office visits (99201-99205), as applicable.
Drug Coverage Determination Request Form
The Provider must be a contracted provider with Physicians United Plan in order
to use our website. Please contact your Provider Representative in order to obtain
your User ID and password.
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