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CodeMap® Radiology Briefing: 04/01/2010


Editor's Welcome:

In the last CodeMap® Radiology Briefing we discussed the Multiple Procedure Payment Reductions (MPPR) of the technical component of certain diagnostic imaging services as they applied to services paid from the Medicare Physician Fee Schedule. This policy allows Medicare to pay less for multiple imaging services performed on contiguous body parts of a patient during the same session on the same day. That discussion focused on MPPR rules as they apply to services performed in imaging centers and other places of service outside hospital settings. Many of our subscribers alerted us that the briefing failed to describe the differing MPPR rules that apply to services performed for hospital outpatients. Those subscribers were correct, and today we will continue our explanation of the MPPR rules by discussing how these provisions apply to hospital outpatient services paid according to the Outpatient Prospective Pay....

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