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Primary Care Coding:

Understand Primary Care Exception

Published on Tue Jun 10, 2025

Question: What’s the criteria for the Centers for Medicare & Medicaid Services (CMS) to recognize the resident primary care exception? What codes can I use to report their services? Washington, D.C. Subscriber Answer: The Medicare Learning Network (MLN) Guidelines for Teaching Physicians, Residents & Interns booklet says that CMS sometimes allows residents to perform certain low- and mid-level complexity [...]
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