tci General Surgery Coding Alert - 2002 Issue 12

Reader Questions: Billing for Treatment to Relatives

Question: Recently, our neurology practice began treating an aunt of one of the group physicians. Can we bill Medicare for these services, or are they excluded because the patient is a member of the physician's family? Michigan SubscriberAnswer: Medicare will not reimburse a physician for services (including incident-to services) provided to members of his or her household or members of his or her immediate family, including services provided by a group practice of which the physician is a member. According to the Medicare Carriers Manual, section 2332, Medicare defines immediate family as husband or wife, natural or adoptive parent...

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