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20.5.5 Billing Procedures for Non-Family Planning Services Provided During a Family Planning Visit
When a non-family planning service is provided during a family planning visit or the client is offered family planning services during a medical visit, the following billing process must be used:
• A family planning agency must bill for non-family planning services using a physician's or NP's provider identifier. The agency provider identifier is used to bill family planning services only.
•A physician, NP, or FQHC must bill both family planning services and non-family planning services, using the correct physician's, NP's, or FQHC's provider identifier.
•An RHC may bill a rural health encounter for a non-family planning medical condition or use the physician's or NP's provider identifier to bill for family planning services. If the RHC also is enrolled as a family planning agency, the family planning services may be billed using the agency's family planning provider identifier and the appropriate national place of service (72) for an RHC setting.
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