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Thread: Rules re: radiology, lab and path services during follow up visits

  1. #1

    Default Rules re: radiology, lab and path services during follow up visits

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    Does someone have the actual ruling from CMS re: radiology, lab and pathology services being payable if performed for a follow up visit after a major surgery (with 90 days post op period)?

  2. #2
    Join Date
    Apr 2007
    Location
    Rochester, NY
    Posts
    69

    Default

    You can start with the physician RVU file. It is a huge excel file that will give you the number of days post op if it applies by CPT code. Go to:
    http://www.cms.hhs.gov/PhysicianFeeS...tNumPerPage=10
    When you download the files you want to view the bottom two files the excel worksheet titled PPRRVU10 and the acrobat file will translate what each of the columns mean.
    I believe there is a separate file for Lab. I haven't billed for lab. You may start here if you don't find what you need in the physician fee schedule files:
    http://www.cms.hhs.gov/FeeScheduleGenInfo/
    I hope this is what you were looking for.
    Thanks, Jill

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