Billing and Coding Compliance
Services provided must be medically necessary and rendered by qualified health care professionals in accordance with the scope of practice and federal and state laws.
Assignment of CPT, HCPCS, and ICD-10 codes is based on the medical record documentation and payer specific guidelines.
Medical record documentation must meet the requirements outlined in UC Davis Health Policies and Procedures (P&P) 2307 and as applicable in P&P’s 1930 and 1905.
With a limited exception, teaching physician services may be billed to Medicare only when the documentation supports that the teaching physician provided a direct service to the patient. See Primary Care Exception for exception details (PDF).
More information for UCD Health employees and providers is available via the Employee links.