incident to

Which MD would be the billing provider for an incident to visit
1. the MD that initially saw the pt & determined the plan of care
2. the MD in the office suite at the time of the visit


  • edited May 2017
    MD on site at TOS. MD who initiated POC would be the referring physician in this case.

  • The physician that is in the office at time of visit.

    Allison K. Hiott, CCS, CPC, CPC-I
    Remote Professional Coding Specialist
    Reimbursement & Advisory Services Division
    Greenville, SC (Eastern Standard Time Zone)

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  • For a Medicare Beneficiary I agree; it has to be the physician physically present within the suite when the service is rendered. This Medlearn Matters article may help clarify:


    Kris Cuddy, CPC, CIMC
    Healthcare Compliance Analyst
    Compliance Office
    Michigan State University HealthTeam
    East Lansing, MI
    Ofc: 517-355-4547
    Fax: 517-353-5292

  • The MD in the office suite at the time of the visit

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