Moran determined that CMS' policy would advantage customers of the lowest-price biosimilars and penalize those whose sales prices were above the blended average sales price for each bundled code
However, when they are conducted together, the appropriate code should be 72158, which is the bundled code
When the issue is use of a modifier or whether multiple procedures or a single bundled code
is more appropriate, often a respectful conversation with the medical director using documentation and evidence--such as CPT Assistant, Correct Coding Initiative rules, and specialty society policy advisories--will be successful.
on Wednesday asked a federal appeals court to grant a rehearing on whether the company illegally bundled code
for Web browsing software with that of its dominant Windows desktop operating system.