Neurology & Pain Management Coding Alert

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Medicare's 'Direct Supervision' Rules

Question: I am trying to code a level-three evaluation and management (E/M) service our nonphysician practitioner (NPP) performed “incident-to” the physician for an established Medicare patient. There was already a plan of care in place for right-sided lumbago with sciatica, but I’m not sure the visit included “direct supervision.” For coding purposes, what does Medicare mean by “direct supervision”? Minnesota Subscriber [...]
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