tci Part B Insider - 2010 Issue 30

Part B Coding Coach: 4 Steps Unlock Ethical Unlisted Procedure Coding Payments

Referencing the nearest equivalent CPT code could be your key to getting paid.When CPT forces you to turn to unlisted codes, such as when your physician performs a laparoscopic uterosacral nerve ablation (LUNA) procedure, make sure you follow these simple steps or you could up with zilch.Step 1: Never Select a 'Close but Not Quite' CodeYou should never report a code that comes close to the procedure your ob-gyn performed, but doesn't quite fit. If no precise procedure or service code exists, you should report the service "using the appropriate unlisted procedure or service code," state...

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