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Printed Date: 9/22/2015
If a test is personally performed by a physician or is supervised by a physician, the physician may submit claims under the normal physician fee schedule rules. This includes situations in which the test is performed or supervised by another physician with whom the billing physician shares a practice.
The CMS Medicare Benefit Policy Manual ((Pub. 100-02), Chapter 15, Section 80) defines the various levels of physician supervision required for diagnostic tests.
Anti-Markup Payment Limitation: ‘Purchased Diagnostic Tests’
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Last Updated: 02/12/2018