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Question Medical and Procedural Coding Infor

Question Medical and Procedural Coding Infor

Question
Medical and Procedural Coding Information

Jan works for a busy general surgeon. She is in charge of billing and reimbursement for the practice. As part of her job, it is necessary for Jan to be able to accurately code any procedures done so the billing can be completed.

With newer procedures, Jan occasionally cannot find the correct code to match the procedure. She feels that the billing must be completed no matter what, so Jan simply looks for procedural code that is closest to the procedure performed and codes it as that procedure.

Is Jan dealing with codes that cannot be found properly? Why or why not?

How would this be handled differently if Jan were using current procedural terminology (CPT) codes that are not listed?

with references

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