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multipe surgery payment reduction rule

  1. Default multipe surgery payment reduction rule
    Clearnace Sale
    I cannot find this guideline with CMS. Can anyone direct me to the right place? I've got a Cath 93510 and a Renal Angio 36245 that was billed on the same day and they paid the Renal with a 25% reduction. I know the rule exists, I just can't find it in writting and lately I need things in writting just to get people to believe me. I tried multiple surgery rule and 'same family' rule and I can't find it.

  2. #2
    North Carolina
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    Section 40.6
    Rebecca CPC, CPMA, CEMC

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  3. Default
    thank you so much. And it had nothing to do with the Multiple Procedure thing. It was the Bilateral rule that I should have been looking at!!

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