HPSA and 93016,93017,93018

SLBK53

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We are having a discussion among our coders. Our location is eligible for HPSA and HPSA credits are only paid on physician services, not on technical portions. Our question is: Under Medicare guidelines, is it correct to unbundle 93015 stress test which is done at our office and bill its components, 93016-AQ, 93017, and 93018-AQ, in order to get the HPSA credit?
 

Jess1125

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We are having a discussion among our coders. Our location is eligible for HPSA and HPSA credits are only paid on physician services, not on technical portions. Our question is: Under Medicare guidelines, is it correct to unbundle 93015 stress test which is done at our office and bill its components, 93016-AQ, 93017, and 93018-AQ, in order to get the HPSA credit?
I work for a big practice and one of our locations is in a HPSA designated area. When there are stress tests done at this site and the patient has Medicare they are billed out with the components billed out separately, 93016/93017/93018. I don't have issues.

Jessica CPC, CCC
 
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