tci Part B Insider - 2016 Issue 32

Part B Coding Coach: Can't Find the Right CPT® Code? Don't Break a Sweat, Use an Unlisted Code Instead

Detailed documentation in your op notes will streamline your claim. Suppose an operative note lands on your desk where an orthopedic surgeon describes a laminotomy and excision of herniated thoracic disc. When you consult your coding manual, you find the only thoracic codes correspond to transpedicular or costovertebral approach. So what should you do? Solution: Turn to an unlisted code. But before you submit your claim, make sure you follow these simple steps to show your carrier what to do with your unlisted-procedure claim. Step 1: Never Select a “Close but Not Quite” Code You should never report...

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