Neurology & Pain Management Coding Alert

Use CPT 97530 as a basis for comparison when coding this unlisted procedure Streamline your unlisted-procedure code claims, and ensure your neurologist gets reimbursed even without dedicated codes, by following these three pointers. Tip 1: Describe the Procedure in Plain English Any time you file a claim using an unlisted-procedure code (for example, 92700 [Unlisted otorhinolaryngological service or procedure]), include a separate report that explains, in simple, straightforward language exactly what the physician did. Keep in mind: Insurers consider claims for unlisted-procedure codes on a case-by-case basis, and they determine payment based on the documentation you provide. Good idea: You may even want to include diagrams or photographs, in order to better help the insurer understand the procedure. Some practices recommend highlighting or making notes on the actual report indicating where in the body of the report the provider describes the unlisted procedure. Tip 2: Compare the Procedure to a [...]