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Question:
Can you explain the Medicare policy related to the term “mutually exclusive”?
Answer:
Many procedure codes cannot be reported together because they cannot reasonably be performed at the same anatomic site or same patient encounter (i.e., they are mutually exclusive of each other). Take, for example, the repair of an organ that can be performed by two different methods. Only one method can be chosen to repair the organ.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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