Effective December 21, 2023, the Centers for Medicare & Medicaid Services (CMS) has directed A/B MACs to not make downward adjustments to claims for CPT Codes for complex therapy administration (96401 ...
If determined that documentation does not support separate and distinct anatomic locations/regions for the two injections performed, only one injection can be reported. Correct code — CPT 20550 = ...
High-priced treatments, administered in expensive facilities, are becoming one of the largest cost drivers within ...