Medicare has now eliminated the use of consult codes in the office. You have to use the 92o04 or 992o4 codes (ophthalmology and E/M), but not that 99244 (consult). The difference is around $30-40. Of course, you’re going to end up treating the patient as a consult and writing a letter to the referring doctor like in any other consult, except you’re getting paid less, for no good reason. Yay!