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tci Part B Insider - 2004 Issue 16
Reimbursement: Don't NOC It Until You Try
If the physician did extra work, consider modifier before unlisted code
Doctors go above and beyond the call of duty every day. They work tirelessly to help patients, putting in so much effort that it scarcely seems like a single CPT code can capture the work in a particular procedure.
Usually, you find the right code to describe their work. But sometimes, their efforts go so far beyond the usual services described by a code that they appear to have performed an extra procedure along with the listed procedures. And this extra procedure doesn't seem to have a...
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