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Referrals within same group

  1. Default Referrals within same group
    Medical Coding Books
    Does anybody know or can help with finding documentation that either allow/disallow referrals within the same group for a subspecialty/different taxonomy for foot and ankle.

  2. Default
    The only way you can bill for a referral in the same practice if they are the only physicians in the area that specializes in that part of the body.

    For example, cardiology they have many specialities within a practice, general cardiologist, EP, nad Interventionist , EP and Interventionist are consider subspeciality but if one of those physicians only performs a certain procedure in this part of the area, then yes that physician can see a referral from within a practice.

    So for your answer would be a no, unless he/she is only physician specializes in the foot that no way else does in the area.

    Hope this helps.

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