|American Society of Dermatology|
SPECIFY THE SERVICES YOU WILL AND WILL NOT PROVIDE
Your contract should detail all of the specific CPT/ICD-9 codes that will be included under capitation. 8 A separate list of codes that reflects higher-cost treatments, such as Mohs surgery, should be organized into the following four categories and negotiated separately at fee-for-service rates:
Also clearly define and specify in your contract:
8 The Appendix contains a sample list of CPT/ICD-9 codes separated into two categories, "Covered" and "Not Covered ." You will need to create a similar list for your capitation contract guidelines.