tci General Surgery Coding Alert - 2005 Issue 7

News in Brief: CMS Changes 'Incident-To' Guidelines - Again

Assume that ordering and supervising physician must be the same person Recent CMS "clarifications" on "incident-to" billing have muddied the waters even further.Late last year, CMS released "Transmittal 20," which stated that the supervising physician and the ordering physician don't have to be the same person for incident-to services. CMS instructed coders to put the ordering physician's name in Box 17 and the supervising physician's signature in Box 31 on the 1500 form. CMS: 'We Take It Back' CMS has recently sent out a notice that it has withdrawn Transmittal 20. The agency issued Transmittal 20 "in...

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