Group,
I have a question regarding overlapping medical data code sets and health plans
requiring providers to use a specific code set for a specific type of service.
For example, anesthesia can be billed using HCPCS and CPT-4 codes. Can a health plan
require a provider to use only HCPCS or only CPT-4 when billing for anesthesia
services? Or must plans accept both?
This question would stand for any other services that could be billed using multiple
medical data code sets.
Any insight is appreciated.
Thanks,
Paul
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