General Question for the Week of December 31, 2018

General Compliance Question of the Week

Question:

What code should be reported when no codes correctly describe the service performed?

Answer:

If the HCPCS/CPT codes do not correctly describe the procedure(s) performed, the provider should report a “not otherwise specified” CPT code rather than a HCPCS/CPT code that most closely describes the procedure(s) performed.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.