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Pulmonology Coding Alert

Reader Questions:

NPPs Should Note These Incident-to Updates

Published on Tue Jun 03, 2008

Question: There was recently some discussion on a professional coding listserv about a new incident-to clarification from Medicare. Do you have any info on possible changes to incident-to coding?Maine SubscriberAnswer: If you've been wondering when CMS would finally clarify some of the more sticky issues involved in incident-to coding, that time has come.On May 2, CMS issued Transmittal 87, which revises the incident-to guidelines. The main revisions involve CMS' inclusion of nonphysician practitioners in much of the language.For instance, where the policy previously referred to a "physician's services," it now notes that it refers to a "physician's/NPP's professional services."You can find the new incident-to regulations on the CMS Web site at http://www.cms.hhs.gov/transmittals/downloads/R87BP.pdf.
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