AMA CPT® Assistant - 2002 Issue 2 (February)

Other (February 2002)

February 2002 page 11-end Coding Consultation Other, Reportable (Q&A) Question I've received advice stating that a code is "reportable." Does reportable mean reportable for reimbursement? AMA Comment Inclusion or exclusion of a procedure in the CPT book does not imply any health insurance coverage or reimbursement policy. Eligibility for payment, as well as coverage policy, is determined by each individual insurer or third-party-payer. The term "reportable" indicates that the service or procedure is considered to be distinct from other services or procedures that are performed, and therefore warrants identification with a separate CPT code. Services or procedures...

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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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