Discussion Problem: Complete with 250 words in detail
Unlisted Procedures or Services and Special Reports
A special report is included electronically with an insurance claim as an attachment that explains why an unlisted procedure or service was performed on a patient rather than a regularly listed CPT Category I code in the Tabular section. As a medical coder, this is a very important step!
Apply your understanding of the proper use of special reports.
Include the following aspects in the discussion:
- Describe at least two reasons why an unlisted procedure or service would be coded
- Provide two examples of additional information would be included in a special report
- Select one unlisted procedure code from the Pathology and Laboratory section and include the description of the code. Need Assignment Help?
- Discuss what types of ramifications could result if a special report is not included with the insurance claim