We had a patient who had scheduled a 2-1/2-hour surgery. She neither showed up nor cancelled the surgery. Is there a code we could use to reflect this situation? ...
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Article Overview
This short coding guidance article explains how a missed surgical appointment is handled from a reporting standpoint. It is aimed at coders and billing staff who need to know whether a nonperformed scheduled service should be captured in CPT-based documentation and claim workflows. The article provides a concise policy-style answer about reporting for services that were scheduled but not completed.
Why This Topic Matters
Understanding how to handle missed procedures helps prevent inappropriate claim submission and supports consistent coding and billing practices.
What You Will Learn
- Whether a missed scheduled procedure is reportable for coding purposes
- How nonperformed services are treated in a CPT-oriented billing context
- The general handling of no-show situations in coding workflows
- When a scheduled service does not result in a billable reported procedure
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Practice managers
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