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Place-of-Service & Geographic Adjustments Unlike most procedure codes, 96372 CPT code carries the same total RVU and Medicare payment rate in both facility and non-facility settings

Workers compensation billing for 96372 adds another documentation layer

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Appropriate Modifier Use Always follow payer policy

Two modifier rules are where most 96372 claims break down

Documentation Requirements for CPT Code 99212 MDM-Based Documentation When you're selecting CPT code 99212 based on MDM, the note needs to clearly show that straightforward decision making occurred