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As we refine our APCM policies, we note that we did not propose to make changes to the coding and payment policies for the existing care management and CTBS services, other than to prohibit concurrent billing for the same patient during the same month

Medicare guidelines for CPT 20610 cover five areas: documentation requirements (seven elements, including laterality, indication, medication, and imaging guidance status), modifier rules (RT or LT on every unilateral claim), J-code billing (JW or JZ required for single-dose containers), NCCI bundling restrictions (no separate billing alongside same-joint arthroscopy), and LCD covered diagnosis requirements (unrecognized diagnoses trigger CO-50 denials)

If your GP has already performed a blood test, bring it to the consultation with you

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