tci Medicare Compliance & Reimbursement - 2011 Issue 23

CPT® 2012: CPT® Defines 'Other Qualified Healthcare Professional'

Unfortunately, RNs don't make the cut under CPT®'s new definition. If you've wondered what "other qualified healthcare professional" means when you see it in a code descriptor, such as 90460-90461 (Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional ...). If your MAC follows CPT® rules, you can exclude registered nurses from that list. At the request of many physicians, CPT® 2012 now defines the terminology. Don't Miss Errata Clarifications Although this definition didn't make it into the 2012 manual, the AMA lists it as...

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