Cynthia Hughes's latest activity

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    Cynthia Hughes replied to the thread Wiki 99497 & 99498.
    Please see the CMS fact sheet MLN909289. There is a table on page 4 showing that CMS applies the CPT midpoint rule.
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    I don't work directly with practices and I have not seen any messaging from Medicare to beneficiaries to explain the new charge. The short descriptor from CMS is "Complex e/m visit add on." However, you might consider something like...
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    If you look up hair tourniquet, you are directed to constriction, external, by site which leads to external constriction of the clitoris and directs to S30.844A External constriction of vagina and vulva, initial encounter. R10.2 describes pain in...
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