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NEW !! MID-LEVEL REIMBURSEMENT (SA MODIFIER)

INCIDENT TO BILLING  The intent of this bulletin is to clarify Insurance requirements for billing “Incident To” services (services rendered by a licensed/certified professional but directed by and billed under the NPI of a supervising practitioner). USING THE SA MODIFIER “Incident To” services are also relevant to services performed by auxiliary personnel working within the… Continue Reading

New COVID-19 ICD-10 Codes

The Centers for Disease Control and Prevention (CDC) announced the implementation of six new ICD-10-CM codes to identify conditions related to novel coronavirus (COVID-19). The new codes are: J12.82, Pneumonia due to COVID-19 Pneumonia due to SARS-CoV-2 M35.81, multisystem inflammatory syndrome Multisystem inflammatory syndrome in children Pediatric inflammatory multisystem syndrome M35.89, other specified systemic involvement… Continue Reading