tci ED Coding & Reimbursement Alert - 2018 Issue 8

You Be the Coder: Does This Constitute An Invalid Code?

Question: In your article last month, “Compare Your Claims Against This MAC’s Top Denial Reasons,” it said that if the procedure code was invalid on the date of service, that’s a reason for denial. What about if we forget to file a claim, and by the time we file it, a code has been deleted and is no longer valid? For instance, suppose the date of service is Dec. 20, but we don’t file the claim until Jan. 25, and by that point, the CPT®code has been deleted. What can we do? Supercoder...

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