Does the multiple procedures reduction formula apply to diagnostic testing services, such as MRI’s or x-rays?
A. No. The multiple procedures reduction formula applies only to multiple and bilateral surgeries (CPT 10000 through 69999). The rules concerning multiple and bilateral procedures and assistant and co-surgeons have been extensively redrafted in the recent adoption to the rule. See N.J.A.C. 11:3-29.4(f).
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- Does the multiple procedures reduction formula apply to diagnostic testing services, such as MRI’s or x-rays?