tci General Surgery Coding Alert - 2007 Issue 7

Know When to Treat 'Separate Procedures' Separately

Turn to NCCI for guidance if you-re in doubt about a bundle The true meaning of a -separate procedure,- as designated by CPT, is somewhat counterintuitive, which can cause a great deal of confusion for coders and physicians alike.Avoid this mistake: Don't assume that a -separate procedure- designation means you can always report the code separately if the physician provides the service. In fact, a separate procedure designation means that the procedure is bundled -- and therefore not separately reportable -- anytime the physician provides a more extensive, related service. The Right Time to Unbundle CPT designates...

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