CPT says: “If no specific CPT or HCPCS code exists, then the procedure must be reported using an appropriate unlisted CPT code.”
Unlisted CPT codes, when reported with appropriate documentation, should be reimbursed. It is the responsibility of the surgeon, and the coding or billing staff, to report unlisted CPT codes and follow up with payors if a claim is denied.
On this episode of the CodeCast Podcast, Terry Fletcher will dive into this topic to help you with successful unlisted procedure claims.
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