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Why This Topic Matters

The article helps coding and billing professionals avoid improper claims for services that may be bundled into surgery or performed by individuals whose work is not separately billable under the practice’s arrangement. It also points readers to the kinds of payer guidance and manual references that influence claim submission decisions.

Article Sections

1. Don’t separately report platelet separation with surgery

   Discusses a blood-processing procedure used in connection with surgery and summarizes the related AMA and Medicare guidance. It also touches on separate billing considerations for a similar product-related service.

2. When sales rep places electrodes, physician may not bill stimulator

   Reviews billing questions involving placement of an external bone growth stimulator when the service is performed by a device representative rather than practice staff. The section also references Medicare policy on services furnished by the physician, staff, or contractors.