BNyberg
New
Medicare indicates that they pay "100% of the highest physician fee schedule amount & 50% of the physician fee schedule amount for each of the other codes". Does anyone know if all insurance carriers follow this rule? Are you familiar with any that do not? Lastly, does anyone have insight as far as the primary procedure performed (which may have a lower allowable) being paid at 100% while another procedure (with the higher allowable) being paid at 50%? I realize some of you may be located in a different geographical area, but any feedback will be helpful.
Thanks,
Brandy Nyberg
Thanks,
Brandy Nyberg