The 10-minute increments after the first 4 hours are not industry wide, in my experience. Some contracted carriers throw that in as a bone at negotiations, but none of our larger carriers nor Medicare follow it. The industry trend is per minute payment, eliminating time units altogether. Most government payers are following this with the commercial industry close on their heels. Another trend is rounded time units to either tenths or down for 7< and up for 8+ minutes but still 15-minute based.
Hope that helps.
Steve Young, CPC
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