What do procedure to procedure edits represent?


These mutually exclusive procedures cannot be reported on the same date of service unless the clinical circumstance justifies the use of a modifier. They represent:

  • Procedures that cannot occur during the same operative session due to medical impossibility or improbability;
  • Performance of two different methods to accomplish the same therapeutic result when only one was successful; or
  • Initial and a subsequent service on the same date.

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