Coding Tip: Medicare Expands MPPR Policy to TC Ophthalmology Procedures

Coding Tip: Medicare Expands MPPR Policy to TC Ophthalmology ProceduresMedicare has expanded the Multiple Procedure Payment Reduction (MPPR) policy and, effective January 1, 2013, will implement cuts to concurrent diagnostic eye services. If more than one test is performed on the same day, the payment for the technical component (TC) of the less expensive service will be reduced by 20 percent. The MPPRs do not apply to professional component (PC) services. 

For more information check out the Medicare Learning Network's MLN Matters.

You may also view the official, detailed instruction issued to your Carrier and A/B Mac on the CMS website.

 

Don't miss a single coding tip! Subscribe to the VisionWeb Blog for regular updates.

 

Subscribe to the VisionWeb Blog
Back to Blog

Related Articles

Claim Upload Coding Tip: Advance Beneficiary Notice of Noncoverage Form

Check out our newest coding tip to help out with your electonic claim uploading and processing!...

When Uninsured Patients Cause an Electronic Claims Denial

When the patient can’t be identified as insured by your eligibility check, it can cause a claim...

Claim Management Investments Your Vendor Should Make

From verifying your patients’ eligibility to processing the claim and payer payment, the claim...