You can never change a CPT or ICD-9 code without the permission of the physician.
Both you and the physician are responsible for what goes on the claim to the insurance carrier when it comes to fraud and abuse.
If you find a CPT or ICD-9 code that you feel is more appropriate then you need to discuss this with the physician. If does not agree then you must bill what he has chosen.
Peggy Kulczycki, CPC, CPC-I
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