• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Reporting of CPT codes on EMR notes

Create Wiki
E

Exptcdr

Networker
Local Chapter Officer
Messages
87
Location
Spring Valley, WI
Best answers
0
I have medical providers in a practice who routinely report CPT codes on their medical documentation per hospital rounds. I have been told previously that this could become a compliance concern, however, because I have not seen it in several years I am unable to locate the reason for this.
Does anyone have any information regarding this type of a situation?

Thank you
 
Actual coding of a CPT procedure should always be supported by the documentation. Their use of a CPT code in this case could be considered as reminder of or an estimate of their services, similar to a doctor marking the superbill in an office visit. If you find the level is always higher or lower than what the documentation supports, time for provider education.
 
Last edited:
You must log in or register to reply here.
Top