CodeMap® 
150 North Wacker Drive
Suite 1870
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


2023 Printed Publications Early Bird Sale on Now through August 31, 2022!



User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2022
2021

Physician Fee Schedule

2022
2021

OPPS Fee Schedule

2022-July
2022-April

ASC Fee Schedule

2022-July
2022-April

APC Codes

2022-July
2022-April

DRG Codes

2022
2021

ASP Drug Pricing Files

July 2022
April 2022


CMS Transmittals




CodeMap® Compliance Briefing: 02/01/2008


Editor's Welcome:

When a provider is unable to find either a specific analyte code or a method code for a particular test or procedure, the provider may identify the test with an unlisted procedure code. However, providers should use these codes only as a last resort since many payers, in particular Medicare, require additional development or explanation of why the test was performed.  In addition, typically Medicare sets reimbursement amounts for these codes at $0.00. Despite these drawbacks, some providers of esoteric procedures have found a way to use these codes to their advantage. Today’s CodeMap® Compliance Briefing will discuss unlisted CPT codes, the associated rules, and recent developments concerning how these codes are used.

Sincerely,

Gregory Root, Esq.


Using Unlisted CPT Codes<....

Sorry, the full document you are trying to access requires an active subscription.

Please login to the left.


Click here for publications catalog.

--

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.