HCPro, JustCoding Outpatient - 2022 Issue 26 (June)

Q&A: Determining a Medically Unlikely Edit value for CPT code 94640

June 28th, 2022

Q: Based on National Correct Coding Initiative Manual guidelines, CMS allows facilities to bill 1 unit of CPT code 94640 per episode of care regardless of the number of treatments provided. Should you bill 1 unit of CPT code 94640 even if the service was performed three times?

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