You need to accept both types, but how you choose to process with them is up
to you.
Mike Winston
Trigon ISD
Ext 44521
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> -----Original Message-----
> From: Paul Costello [SMTP:[EMAIL PROTECTED]]
> Sent: Tuesday, August 28, 2001 5:04 PM
> To: [EMAIL PROTECTED]
> Subject: Overlapping Medical Data Code Sets
>
> 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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