tci Medicare Compliance & Reimbursement - 2008 Issue 26
Revenue Booster: 3 Tips Sharpen Your Unlisted Coding Finesse
Don't forget to compare your unlisted procedure to an existing code. You 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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