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Coding and Billing “Multiple Procedures”

When healthcare providers perform multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically pay “full price” for only the highest-valued procedure. The reason is explained in Chapter 1 of the National Correct Coding Initiative (NCCI) Policy Manual: Most medical and surgical procedures include pre-procedure, intra-procedure, and post-procedure work. When multiple procedures […]

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