Respiratory Question for the Week of December 23, 2019

Question:

What do procedure to procedure edits represent?

Answer:

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.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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.

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Respiratory Question for the Week of December 23, 2019

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