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Wisconsin MedicaidClaims1Family Planning Only ServicesPublished Policy Through September 30, 2020Page 1 of 95Wisconsin MedicaidArchive Date:10/01/2020Claims:Good Faith Claims Topic #518Definition

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Who needs procedure-to-procedure detail edits?

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What is procedure-to-procedure detail edits?

Procedure-to-procedure detail edits are specific changes made to the codes used to describe medical procedures in order to provide more detailed information.

Who is required to file procedure-to-procedure detail edits?

Healthcare providers and facilities are required to file procedure-to-procedure detail edits.

How to fill out procedure-to-procedure detail edits?

Procedure-to-procedure detail edits can be filled out electronically using the appropriate coding software.

What is the purpose of procedure-to-procedure detail edits?

The purpose of procedure-to-procedure detail edits is to ensure accurate and specific billing for medical procedures.

What information must be reported on procedure-to-procedure detail edits?

Procedure-to-procedure detail edits must include the specific changes made to the procedure codes.

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