CPT 2024: Now you can bill multiple unlisted codes with modifiers

Why This Topic Matters

The update may affect how practices report unlisted services on claims and how they coordinate with payer expectations. It matters to coders and revenue cycle staff working with CPT reporting, especially in specialties that frequently encounter unlisted procedures.

Article Sections

1. Overview of the 2024 CPT change

   Introduces the CPT 2024 update and summarizes the broader reporting context for unlisted services and procedures.

2. Expanded reporting guidance for unlisted codes

   Describes the updated AMA guidance on reporting unlisted services alongside other CPT service categories and in more than one instance when circumstances warrant.

3. Only certain modifiers apply

   Summarizes the general types of modifiers discussed in the guidance and notes that some modifier categories are not addressed as appropriate for these reports.

4. Real world use may vary

   Covers practitioner observations, payer-related concerns, and how implementation may differ across settings.

5. Some existing rules for billing unlisted codes have not changed

   Notes that the article also reiterates continuing limitations and unchanged aspects of unlisted-code reporting.