AMA CPT® Assistant - 2013 Issue 12 (December)

Coding Communication: Location of Surgical and Nonsurgical Procedures in the CPT Code Set (December 2013)

December 2013 page 10 Coding Communication: Location of Surgical and Nonsurgical Procedures in the CPT Code Set In the June 1996 CPT® Assistant Coding Commentary titled "The Great Debate: When Is 'Surgery' Not Surgery?", the Current Procedural Terminology (CPT®) Editorial Panel addressed the potential problems that may occur when reporting certain procedures because the distinction between what constitutes surgical and nonsurgical procedures is not defined by its placement in the code set. Examples include problems that occur for those beneficiaries who lack coverage for "surgery," but would be covered if the service did not fall within...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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