AHA Coding Clinic® for HCPCS - 2018 Issue 1; In This Issue

Modifiers appended to unlisted CPT codes

The Central Office on HCPCS has received several inquiries regarding whether it is appropriate to append a modifier to an unlisted CPT code. Unlisted codes represent an item, service, or procedure that does not have a specific CPT or HCPCS code assignment. When a specific CPT or HCPCS code does not exist, an unlisted code may be reported for the item, service, or procedure provided. One of the problems encountered, however, is that the unlisted CPT code descriptor generally does not describe the specific description of the procedure and/or service performed. Here are some examples of unlisted CPT...

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