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What documentation is required to bill for an office/outpatient visit or a hospital or facility visit?

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What documentation is required to bill for an office/outpatient visit or a hospital or facility visit?

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Physicians must still follow the documentation guidelines for the key components to support the code reported. In the 2010 physician fee schedule, CMS advises practices to use existing rules and guidelines for coding office visits and initial hospital and facility visits.

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