Multiple Diagnostic and Selected Therapeutic Procedures

Payment for multiple services are listed in the "Diagnostic and Selected Therapeutic Procedures" section of the MSC Payment Schedule, Preamble D. 7.

Multiple Diagnostic and Selected Therapeutic Procedures Performed at the Same Sitting

When multiple diagnostic/therapeutic procedures are performed at the same sitting, the procedure having the largest fee is billed at 100% of the listed fee. The remaining procedure(s) are billed at 50% of the listed fee(s), unless otherwise indicated in the Payment Schedule.

Extras

Procedures designated as "extra" will be paid at 100% for the first "extra", and 50% for any additional procedures listed as "extra", unless otherwise indicated in the Payment Schedule.

Two Diagnostic/Therapeutic Procedures Performed By Two Physicians at the Same Sitting

When two diagnostic/therapeutic procedures are performed by two physicians at the same sitting, and both procedures are within the competence of either physician, the total fee billed should be no greater than that which would be payable if both procedures were performed by one physician, plus one assistant's fee (if applicable).

Tip: See Preamble D.7 of the MSC Payment Schedule for more information on billing multiple services listed under "Diagnostic and Selected Therapeutic Procedures".

 

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Disclaimer: MSP Tutor is intended to provide a guide for physicians and medical office assistants in billing claims to MSP. For definitive information on fee-for-service fee item codes and amounts, consult the current MSC Payment Schedule. If a discrepancy exists between the information contained in MSP Tutor and the MSC Payment Schedule, the information in the Payment Schedule will prevail.