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Fam Pract Manag. 2009;16(1):30-33

Cindy Hughes is the AAFP’s coding and compliance specialist and is a contributing editor to Family Practice Management. Author disclosure: nothing to disclose. These answers were reviewed by the FPM Coding & Documentation Review Panel, which includes Robert H. Bosl, MD, FAAFP; Marie Felger, CPC, CCSp; Thomas A. Felger, MD, DABFP, CMCM; David Filipi, MD, MBA, and the Coding and Compliance Department of Physicians Clinic; Emily Hill, PA-C; Kent Moore; Joy Newby, LPN, CPC; P. Lynn Sallings, CPC; and Susan Welsh, CPC, MHA.

E/M service + injection for different diagnosis

Nurse house calls

Code pair references

NATIONAL CORRECT CODING INITIATIVE: CODE PAIRS REFERENCE

The image below shows how information about coding edits is displayed in files that can be downloaded from the CMS Web site. The tables can be used to identify Medicare-bundled codes that do not require modifiers and those that can be submitted separately with modifiers.

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Send questions and comments to fpmedit@aafp.org, or add your comments below. While this department attempts to provide accurate information, some payers may not accept the advice given. Refer to the current CPT and ICD-10 coding manuals and payer policies.

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