Formatting Special Reports

When you report a CPT® “unlisted procedure” code, or one of the new technology (Category III) codes, you may be required to enclose a special report with your claim. Additionally, the CPT® codebook provides instruction regarding special reports in the Radiology Guidelines, which specify, “A service that is rarely provided, unusual, variable, or new may require a special report. Pertinent information should include an adequate definition or description of the nature extent, and need for the procedure; and the time effort, and equipment necessary to provide the service.”

The special report should also provide information about the time, effort, and equipment necessary to provide the service. Additional information that may be helpful to the carrier includes: The complexity of symptoms, final diagnosis, pertinent physical findings, diagnostic and therapeutic procedures performed, concurrent problems, and planned follow-up care. This data gives the payer a better understanding of what the procedure is, what was required to perform it, and how it should be reimbursed.

dec-clearance-sale

Latest posts by admin aapc (see all)

One Response to “Formatting Special Reports”

  1. Harshad says:

    I agree. you have to be careful what you are cnrveoting to view on your ipod. I will try and get around to creating some screen shots of pages I have converted and put those here just to show what success I have had so far. I have had some success creating quizzes in the same way and when fully tested I will put some up so others can try them out.

Leave a Reply

Your email address will not be published. Required fields are marked *