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Medicare Remittance notice code

I received a Medicare remittance notice with code CO 172- Payment is adjusted when performed/billed by a provider of this specialty. They reduced the fee by 17% of the listed fee schedule amount. The...

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Re: Medicare Remittance notice code

Was the diagnosis a mental health diagnosis? Or was it the standard reduction for services performed in a facility vs. an office?I have found sometimes that I get that code when they usually use a...

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Re: Medicare Remittance notice code

Sharon,Thanks! I looked at the fee schedule again and there is a site of service reduction. How bizarre is that? How can you bill that code in an office setting??? Oh well, mystery solved. I've never...

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Re: Medicare Remittance notice code

While it does not routinely occur in the office, you can code for it in an office setting... especially in a cardiology office setting. (e.g. patient crashes during a stress test) However you need at...

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