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Click here for more sample CPC practice exam questions and answers with full rationale

Healthcare Business Monthly Article from Feb 2018

Hello,

I need help understanding the article titled "2018 OPPS Payments" on page 38. In particular the paragraph “Packaging Expansion Continues” in the article it states, “Physician offices are not eligible for the payment of a visit if drug administration services are provided.” I take this to mean that Medicare will no longer pay IM administration code 96372 with an E/M code.

The CMS NCCI edits effective Jan 1, 2018 do not reflect this edit. I also have not seen an email from Medicare confirming this packaging of services.

Can anybody clarify or confirm this?

Thank-You,
Nancy Jensen, CPC

Medical Billing and Coding Forum