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Ncci

  1. #1
    Default Ncci
    Medical Coding Books
    OK, I know you cannot charge a new patient visit with a related injection for Medicare.

    Is anyone charging E/M + inject. with commercial payors ? It seems most of the comm payors "say" they follow Medicare....?

    Per NCCI policy manual, page I-17 + I-18 "the decision to perform a minor surgical procedure is included in the payment for the minor surgical procedure and should not be reported separately as an E/M service"....."the fact that the patient is new to the provider is not sufficient alone to justify reporting an E/M service on the same DOS as minor surgical procedure"
    Last edited by PLAIDMAN; 11-04-2014 at 03:19 PM. Reason: resources

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