Learn The Supervision Change to Outpatient Therapeutic Services
Posted on 29. Jul, 2012 by dchandhok in Provider News
If you report outpatient therapeutic services regularly, then make sure that your ob-gyn can meet the new general services requirements—before you submit your claim.
Definition: General supervision means the procedure is furnished under the physician’s overall direction and control, but the physician’s presence is not required during the performance of the procedure, explains Marvel J Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, with MJH Consulting in Denver, Colo.
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Effective July 1, these services may be conducted under general supervision in accordance with applicable Medicare regulations and policies:
- 51701—Insertion of non-indwelling bladder catheter (e.g., straight catheterization for residual urine)
- 90471—Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
- 90472—Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to code for primary procedure)
- 90473—Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)
- 90474—Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to code for primary procedure)
- 99406—Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes
- 99407—Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes
History: Until now, none of these codes had been assigned a physician supervision level prior to July 1. Before, they had a designation of “09″ which means “Concept does not apply.”
What’s new: The CPT rule for physician presence...
- Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
- Discounts on 3rd party offers
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