Commonwealth of Massachusetts
Medical Assistance Program
Provider Manual Series
PHYSICIAN MANUAL

SUBCHAPTER NUMBER AND TITLE

APPENDIX K:  TEACHING PHYSICIANS
TRANSMITTAL LETTER
PHY-108
PAGE
K-1
DATE
12/01/05

Physician Service Codes Exempted from the Physical-Presence Requirement

This appendix contains service codes for which a teaching physician may bill MassHealth even though he or she is not physically present for the key portions of the service.  Note:  This exception does not apply in certain circumstances if the teaching physician is also a primary care clinician in the Primary Care Clinician Plan.  (See 130 CMR 450.275.)


99201
99202
99203
99211
99212
99213
99214
99218
99219
99221
99222
99231
99232
99234
99235
99241
99242
99243
99251
99252
99253
99281
99282
99391
99392
99393
99394
99395
99396
99397
99431
99433
99435
90804
90805
90806
90807
90808
90809
90816
90817
90818
90819
90821
90822
90847
90849
90853





Commonwealth of Massachusetts
Medical Assistance Program
Provider Manual Series
PHYSICIAN MANUAL

SUBCHAPTER NUMBER AND TITLE
APPENDIX K:  TEACHING PHYSICIANS
TRANSMITTAL LETTER
PHY-108
PAGE
K-2
DATE
12/01/05

















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