Ob-Gyn Coding Alert

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Don't Overlook Supervision Change to Outpatient Therapeutic Services

The supervision designation moves from "9" to "1." If you regularly report outpatient therapeutic services, then you need to make certain that your ob-gyn can meet the new general services requirements -- before you submit your claim. Definition: General supervision means the procedure is furnished under the physician's overall direction and control, but the physician's presence is not required during the performance of the procedure, explains Marvel J Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, with MJH Consulting in Denver, Colo. Effective July 1, these services may be conducted under general supervision in accordance with applicable Medicare regulations and policies: 51701 -- Insertion of non-indwelling bladder catheter (e.g., straight catheterization for residual urine) 90471 -- Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) 90472 -- Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to [...]
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