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The Three Questions to Ask Before Choosing Between These Codes When a claim is in front of you and you're deciding between these two office visit cpt codes, run through these three questions in order: Who performed the clinical service during this encounter: a physician or qualified health care professional, or clinical staff under supervision
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Do not assume a recommended addition is necessary for every buyer. Ask how a change to the main order would affect the addition.
Compare alternatives using the same requirements and documented information. Ask whether an apparent feature is included in your selected option.
Ask for clarification if the resolution description remains ambiguous. Retain relevant evidence until you are satisfied the matter is settled.
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