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Billing and Coding Guidelines - CMS

The professional component is payable in the office (11), inpatient hospital (21), outpatient hospital (22), ambulatory surgical center (24) and independent clinic (49) for 76519 and 92136. The National Correct Coding Initiative (NCCI) may include edits for these CPT codes. Currently, NCCI edits for CPT codes 76519 and 92136 are as follows:

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  Coding, Outpatient

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