Numerous BlueCross BlueShield plans do not currently cover Consultation services; however, several do. BlueCross BlueShield (BCBS) of Illinois is the most recent commercial plan to update its Clinical Payment and Coding Policy for Evaluation and Management Coding (CPC2024) to align with the Centers for Medicare and Medicaid (CMS) policy not to reimburse Consultation service codes 99242-99245 and 99252 – 99255.

KZA has received several inquiries regarding using collagen dressings for all post-surgical patients to aid healing through a direct shipping program. Your practice needs to take several factors into account when considering this.

The Centers for Medicare & Medicaid Services (CMS) has finalized its new add-on code for visit complexity, G2211, as part of the 2024 CMS Physician Fee Schedule. This add-on code has many in the industry looking for guidance. Here’s what the code says: