tci General Surgery Coding Alert - 2009 Issue 2

4 Pieces Help You Solve the Unlisted Code Puzzle

Key: Include an explanatory report to get the payment you deserve. Just because your general surgeon performs a procedure doesn't mean you-re always going to find an exact code descriptor to match it. So what do you do when CPT doesn't have a specific code for a procedure you-re reporting? Turn to unlisted codes -- but make sure you follow these simple steps to show your payer what to do with your unlisted-procedure claim. Step 1: Never Select a -Close But Not Quite- Code You should never report a code that comes close to the procedure your general surgeon...

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