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Wiki 95943 Autonomic Testing

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sondra hayden

Networker
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Bradenton, FL
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I am trying to get verification that this code is a comprehensive (no PC, TC split). A provider is trying to bill on a CMS1500 with modifier 26.

Per Encoder, this is a comprehensive code.

Thanks for your assistance.
 
sondra hayden said:
I am trying to get verification that this code is a comprehensive (no PC, TC split). A provider is trying to bill on a CMS1500 with modifier 26.

Per Encoder, this is a comprehensive code.

Thanks for your assistance.
Click to expand...


Per the 2013 and 2014 CMS RVU files, 95943 has a PC/TC indicator of "1", which means that the code does have professional and technical components.
 
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