Multiple Procedure Logic definition

Multiple Procedure Logic means the practices or procedures used by a carrier to reduce the
Multiple Procedure Logic means the practices or procedures used by Company to reduce the allowable amount for one or more of the CPT® Codes or HCPCS Level II Codes included in a claim as a result of multiple surgical procedures or services having been performed on the same patient on the same date of service.
Multiple Procedure Logic means the adjustment(s) to payment(s) for one or more procedures or other services, in each case constituting Covered Services (excluding evaluation and management CPT® Codes), when multiple such procedures or services are performed at the same session.

Examples of Multiple Procedure Logic in a sentence

  • No modifier 51-exempt codes shall be subject to Multiple Procedure Logic.


More Definitions of Multiple Procedure Logic

Multiple Procedure Logic means the practices or procedures used by a carrier to reduce the allowable amount for one or more of the CPT codes or HCPCS codes included in a claim as a result of multiple surgical procedures or multiple services having been performed on the same patient on the same date of service.
Multiple Procedure Logic means the payment methodology used by CIGNA HealthCare, when processing claims, that makes adjustment(s) to payment(s) for one or more procedures or other services, in each case constituting Covered Services (excluding CPT® Evaluation and Management Codes), when multiple such procedures or services are performed on the same patient on the same date of service.
Multiple Procedure Logic means an adjustment to
Multiple Procedure Logic means the practices or procedures used by