When is this code ( 87635 ) available for reporting? Can this CPT code be used to bill for testing that occurred in February? ...
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Article Overview
This brief Find-A-Code article addresses when a specific CPT code became available for reporting and raises the related question of whether earlier testing dates can be billed. It is aimed at coders, billers, and compliance staff who need a quick reference on timing and payer policy considerations for a 2020 reporting change.
Why This Topic Matters
Timing affects whether a service may be reported on a claim, and payer rules can differ on retroactive billing and reimbursement. This article helps readers identify that the issue is date-based and payer-dependent without replacing the need to confirm policy details.
What You Will Learn
- How the article frames the reporting-availability question for a CPT code
- Why payer guidance may matter when a service date precedes the reporting start date
- What type of billing timing issue the article is addressing in a 2020 context
- How the article positions the need to verify retroactive billing rules with the payer
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle personnel
- Compliance staff
- Practice managers
Codes Discussed
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