tci ED Coding & Reimbursement Alert - 2001 Issue 5

Reader Question: Teaching Physicians

Question: How much supervision, if any, does a teaching physician need to provide? How should it be billed?Maine SubscriberAnswer: Supervision is absolutely required by teaching physicians for residents and interns. The documentation requirements differ depending on the insurance payer involved. For Medicare patients, the residents and interns can be involved with, perform and document all portions of a patients chart. The supervising physician must be present during procedures that take the resident from three to five minutes to perform. For example, if a resident performs a three to five-minute lumbar puncture (62270*, spinal puncture, lumbar, diagnostic), the physician...

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