tci Medicare Compliance & Reimbursement - 2007 Issue 43

Reimbursement: Less Payment For Moh's Micrographic Surgery Next Year

Fee schedule final rule continues IVIG payments, boosts home visits Warning: Start watching out for payment reductions when your doctor performs more than one Moh's micrographic surgery in the same session. CPT codes 17311-17315 will be subject to modifier 51 starting in January. That means Medicare will reduce payments for the second and subsequent procedures by 50 percent in the same session. The Relative Value Update Committee (RUC) has valued 17311-17315 with the understanding that they'll be subject to the multiple procedures reduction, the Centers for Medicare & Medicaid Services (CMS) notes in the physician fee schedule final rule...

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