tci Part B Insider - 2009 Issue 28

PART B CODING COACH: 4 Tips Position Your 'Multiple Scope' Codes Perfectly

Here's what you should do when there's no base procedure. If your physician performs several knee arthroscopies on the same patient on the same day, you'll need to understand the multiple- scope rule to determine which procedures you can actually claim -- and get paid for. Important exception: Keep in mind that the multiple scope rule is a Medicare creation. The rule applies mainly to shoulder and knee procedures in the orthopedic practice, for example, but it also affects those of the elbow, wrist, and hip. On the other hand, it does not apply to ankle or metacarpophalangeal (MCP)...

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