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Wiki 6 min walk testing

camsgram

Networker
Messages
49
Location
Lancaster, OH
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When performed in an office setting is a modifier needed if an MA performs and the physician bills or just 94618? No report to view only flowsheet found.
 
When you state "no report to view only flowsheet found" do you mean the report is just not available for you to review or do you mean there is no report for the test at all? 96418 has both a professional and technical component, so if there was no report or interpretation by the physician, then you can only bill for the technical component. If there is a report or interpretation of the results then you can bill globally, assuming of course that the test was ordered by the physician overseeing the MA and the service was medically necessary.

The payment indicator for Physician Supervision of Diagnostic Procedures for 94618 is 01-Procedure must be performed under the general supervision of a physician, so it may be allowed for the MA to perform the test under the general supervision of the physician.
 
When you state "no report to view only flowsheet found" do you mean the report is just not available for you to review or do you mean there is no report for the test at all? 96418 has both a professional and technical component, so if there was no report or interpretation by the physician, then you can only bill for the technical component. If there is a report or interpretation of the results then you can bill globally, assuming of course that the test was ordered by the physician overseeing the MA and the service was medically necessary.

The payment indicator for Physician Supervision of Diagnostic Procedures for 94618 is 01-Procedure must be performed under the general supervision of a physician, so it may be allowed for the MA to perform the test under the general supervision of the physician.
Thanks for the reply. There was/is no report only a flow sheet from MA found.
 
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