That being said, payers are not required to follow CMS' edits, however, these edits are the common coding guidelines that focus on codes that should not be reported together. As stated, the rules are a combination of the CPT manual and coding guidelines as well as the other resources mentio...
Example: A provider orders a chest x-ray for suspected pneumonia, or serial troponins are ordered for chest pain to rule out acute coronary syndrome. Connecting the dots between a 99233 and medical necessity is not as clear. Fortunately, CPT provides a clue in the full descriptor for CPT 99...