tci ED Coding & Reimbursement Alert - 2012 Issue 10

Reader Question: Consider the supervision time required to determine a minor or major procedure

Question: What is the rule of supervision of a procedure in ED? Must I, the supervising physician, be present during the whole procedure if is done by resident or student? If I wasn't in the room for the procedure, I assume that I can't say I directly supervised. Correct? Massachusetts SubscriberAnswer: Assuming this is a Medicare patient (or a patient whose insurance follows Medicare's teaching physician rules), it's not billable at all if the procedure was performed by solely the student. If you are physically present and participate in the procedure along with the student, you should be able...

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