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ED Coding and Reimbursement Alert

2017 NPRM:

CMS Is Looking at the Values for Zero-Day Global Codes Billed with an E/M Service

Published on Tue Aug 23, 2016

Wound repairs, eye FBRs and intubation procedures are among the common ED procedures under consideration As stated in the 2017 Medicare Physician Fee Schedule Proposed Rule, CMS believes that reviewing the procedure codes typically billed with an E/M and modifier 25 (Significant, separately identifiable E/M service on the same day…) as potentially misvalued may be one avenue to review valuation [...]
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