tci Part B Insider - 2008 Issue 24

PART B REVENUE BOOSTER: 3 Tips Sharpen Your Unlisted Coding Finesse

Tip: Don't forget to compare your unlisted procedure to an existing codeYou can streamline your unlisted-procedure code claims and ensure that your physician gets reimbursed without specific codes by following these three pointers. Tip 1: Describe the Procedure in Plain English Any time you file a claim using an unlisted-procedure code (for example, 90779 [Unlisted therapeutic, prophylactic or diagnostic intravenous or intra-arterial injection or infusion]), you should include a separate report that explains, in simple, straightforward language, exactly what the physician did.Keep in mind: Insurers consider claims for unlisted-procedure codes on a case-by-case basis, and they determine payment...

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