@jenniferduryea Thanks a lot for your expertise! Extremely helpful. Maybe, you can guide me in the similar situation with a more complicated scenario. How would you handle the case where a patient has the procedures that look the same in the same day, coded in different vocabularies:for example, HCPCS S9538 'Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem' and CPT4 36430 'Transfusion, blood or blood components'. Could we just close our eyes to the fact that they belong to different vocabs and treat them as duplicates?
I'm also wondering how would you consider different quantities? From what I read in your post, we may think of it as different facilities/people billing for the same procedure. Probably, in this particular case, we can eliminate the 2nd version with modifiers, as blood transfusions are pretty straightforward. But should we take minimal/maximal/other quantity as the real number of procedures that took place?
Thank you for your help again.