tci Part B Insider - 2011 Issue 41

CPT 2012: CPT Defines 'Other Qualified Healthcare Professional'

Unfortunately, RNs don't make the cut under CPT's new definition.Wondering just who is eligible to administer that vaccination, prolonged service, or neuropsychological testing? 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 term "other qualified healthcare professional." Although this definition didn't make it into the 2012 manual, the AMA lists it as part of the "CPT 2012 Errata" on its Web site (www.ama-assn.org/resources/doc/cpt/cpt-2011-corrections.pdf) and the definition is as follows:"A 'physician or other qualified health care professional' is an...

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