Results 1 to 2 of 2

Add on codes

  1. #1
    Default Add on codes
    Medical Coding Books
    I have a physician who is advising me there are particular add on codes which should not apply to rate reduction. He stated there are guidelines stating this. Can anyone advise or instruct me to these guidelines if in fact they do exist??


  2. Default
    There are a lot of codes that rate reductions do not apply on. Probably the easiest resource to access is to do a search on CMS website for payment policy indicators for the codes you have a question on. There is a category called multiple surgical procedure and the number indicates whether a reduction applies. Also, appendix D and E of the 2011 CPT manual lists all the add on and 51 exempt codes. You should expect 100% reimbursement for all of the codes on this list.

Similar Threads

  1. Add On Codes
    By ljhollis in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-17-2014, 07:33 AM
  2. Add on codes-Can you bill
    By pajohnson in forum E/M
    Replies: 2
    Last Post: 03-18-2013, 02:34 PM
  3. Add on codes
    By DBarger in forum Urology
    Replies: 1
    Last Post: 04-14-2010, 09:50 AM
  4. Add On Codes
    By Sott3935 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-13-2009, 12:34 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.