Health Information Management

Pay-per-view: OPPS vs. CPT: Coding injections and infusions

APCs Insider, May 27, 2011

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Coders already know that CMS doesn't always follow the language in the CPT® manual.

For example, code descriptions in many sections of the manual refer to "physicians." However, CMS has said the term "physician" does not have to apply to hospitals in certain instances because other qualified nonphysician practitioners may be eligible to bill for a particular service under applicable Medicare coverage and payment policies.

Continue reading “OPPS vs. CPT: Coding injections and infusions” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the May issue.



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