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Wiki Medical Necessity Physician Education

tkrame01

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Does anyone have any suggestions for educational tools to reiterate Medical Necessity for physicians ordering outpatient testing???

Thanks- Tiffany Messing, CPC
 
Check your LCDs and NCDs for your area. This is located on the CMS website under Medicare Coverage Database. T

There you will see published guidelines for specific CPT codes for diagnostics where it will list the diagnosis codes that are considered medically necessary, and then you can use that information to assist them with code selections that make sense.
 
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