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Wiki Category 2 code IIIIF

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DUTCHESSKG

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Bristol, CT
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Can someone give insight on this code? We bill it with $0 charge, the code drops automatically when the medical assistant goes over the meds with the patient. Mediblue is paying $20. The CPT book does not state that it has to be billed by a MD,Pharmacist or RN within 30 days of hospital discharge, but apparently it does. Our EMR vendor is telling us other practices are keeping the money because the CPT book is not specific. Can fines be imposed on audit if we keep the money? I am thinking they can, is it not a question of ethics? Any thoughts on this would be appreciated!
 
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