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Cardiac Catheterization with intervention documentation guidelines

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robint123

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New Port Richey, FL
I am being told that all services performed (cath, stent, angiography, etc.) need to be documented within the "body" of the report or it is "not billable" by a physician. My Drs. use a template that breaks the procedures down individually, capturing all procedures performed, but not necessarily within the "body". Does anyone have any further information regarding this?
 
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