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Discussion with other qualified healthcare professional

M

mclark1104

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Abbeville, LA
Would discussions with PT/OT/ST, floor nurses, staff, RN in a nursing facility qualify aa “discussion with other qualified health care professionals“ on the 2023 MDM table? The billing provider is not employed by the nursing facility.
 
Hi there,
A QHP must be able to perform and independently bill professional services under their state scope of practice. (See page 5 of your CPT manual.)

So conversations with RNs and other clinical staff would not count. Conversations with PT/OT/SLTs might. But again it will come down to qualifications/state scope of practice.
 
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