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Terminology

Steven Posted Thu 09th of January, 2014 16:17:03 PM

'76881' I'm new to outpatient and ASC coding and have some basic questions: What are the meanings of "National Facility Rate, National Physician Rate, and Medicare Payment Rate," in relation to appropriate amounts to bill Medicare for the aforementioned procedure specifically, and in general for any outpatient facility or ASC fee?

SuperCoder Answered Thu 09th of January, 2014 17:59:14 PM

CPT® guidelines instruct that complete code 76881 includes real time ultrasound scans of a joint. Documentation for a complete ultrasound should reference related "muscles, tendons, joint, other soft tissue structures, and any identifiable abnormality."

The following links will help you better in understanding

http://www.asha.org/Practice/reimbursement/medicare/Calculating-Medicare-Fee-Schedule-Rates/

SuperCoder Answered Thu 09th of January, 2014 17:59:14 PM

CPT® guidelines instruct that complete code 76881 includes real time ultrasound scans of a joint. Documentation for a complete ultrasound should reference related "muscles, tendons, joint, other soft tissue structures, and any identifiable abnormality."

The following links will help you better in understanding

http://www.asha.org/Practice/reimbursement/medicare/Calculating-Medicare-Fee-Schedule-Rates/

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