Instructions to the Fiscal Intermediary Shared System [FISS] to Add Additional Multiple Procedure Indicators 6 and 7 Into the Physician Fee Schedule Payment Policy Indicator File Record Layout
In the past, CMS instructed contractors to add to their systems Current Procedural Terminology (CPT) Category III codes with multiple procedure indicators 6 and 7. These codes are payable on professional claims on a fee schedule basis and on institutional claims for Critical Access Hospital (CAH) services on a cost basis. Multiple procedure indicators 6 and 7 apply a reduction to the technical component of these services when paid on a fee schedule basis.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 06, 2022
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