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2020 12 08

Codes: 0130 and 0132 Combined

admin Medical Aid, Medical Practices, Practice Management

Telemedicine: you CAN combine 0130 with 0132

Dear Shareholders and Members

 

According to billing guidelines from SAMA MDCM 2020 for code 0190- 0192, and code 0130 – 0133.

1.     Billing rules applied to codes are based on guidelines provided in the coding guide (SAMA MDCM 2020) and units allocated to the codes.

a.     SAMA MDCM is clear that code 0190- 0192 includes the writing of prescription, repeat prescription and sick notes (see attached)

b.     Code 0130- 0133 do not have such guidelines.

2.     Units allocated to codes

a.     Code 0130 can be billed with 0132/ 0133.

b.     This is because the units assigned to code 0130 excludes costs for code 0132 unlike the usual consultation codes 0190- 0192.

I trust this provides clarity that code 0130 can be billed with code 0132/ 0133.

(MDCM Interpretations – Medical Doctors’ Coding Manual Interpretations)

…………….

Video or voice TeleConsulting Dispensing Fee Update 2020-03-27

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