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Survival Guides
Archived Content: This Survival Guide content is more than one year old and may not have the current updates.
Part B Coders Rule Book
Chapter 10: Multiple Procedures

Often, physicians will provide more than one separately reportable, non-E/M service during the same patient encounter. When this happens, Medicare and other payers will often reduce payment for the secondary services.
Here’s why: Many of the component services that make up the physicians total effort when performing a particular service (such as surgical approach and closure, pre- and postoperative care, etc.) are considered in the primary procedure’s payment.
In other words, the multiple-procedure reduction is the payers [...]


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