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Facility Coding for ED Services

Facility Coding for ED Services

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Challenging CPT®Areas – Modifier -25 Focus DOJ activity with Medicaid claims What is separately identifiable in the ED? Has CMS interpretation changed? Previous OPPS precedent: A-00-40, A-01-80 25 Challenging CPT®Areas – Modifier -25 Focus CMS Transmittals A-00-40 & A-01-81 • Service must meet the definition of “significant,

  Claim, Challenging

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