2. Attribution Claim Algorithm - Hierarchy

3. Attribution Claim Algorithm - Definitions
Visit: Outpatient E&M (evaluation and management) services only, e.g. office visits
PCP: EPDB primary specialty of Pediatrics, Internal Medicine, Family Practice, Geriatrics or a Nurse Practitioner or PA who works for a PCP practice
Specialist – EPDB primary specialty of:
Endocrinology
Oncology
Rheumatology
Pulmonary
Cardiology
Nephrology
OB/GYN
Gastroenterology
G0344
S0610*
99490
G0402
S0612*
G0438-9
S0613*
G0508-9
G0513-4
*Added 2019

4. Attribution Tie-Breaker Examples