tci General Surgery Coding Alert - 2006 Issue 4

Watch for 'Family Ties' When Reporting Same-Day Scopes

Remember the multiple-scope rule when coding, checking reimbursementIf you-re reporting multiple endoscopic procedures during the same surgical session, you have to ask yourself an important question: Are the scopes the physician performed in the same code -family-?If so, the -multiple-scope rule- specifies that you cannot report the base, or -parent,- code separately with more extensive scopes in the same family. In addition, you will face a fee reduction for multiple scopes in the same code family. Include the Parent Code You should always include a diagnostic scope in a surgical scope, according to CPT rules. As a...

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