tci General Surgery Coding Alert - 2014 Issue 6

Reader Question: Focus on 'Incident-to' Rules

Question: The following scenario occurred in our practice: Physician A covered an established patient office visit for physician B who was across the street with a patient in the hospital. They want me to bill the office visit incident-to physician B even though he was not in the office at the time. Can I do that? SuperCoder.com Subscriber Answer: You should not report this service incident to physician B. Incident-to billing doesn’t apply between two physicians. You cannot bill services provided by one physician under another physician’s name or national provider identifier (NPI). Billing under the...

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