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John is a new medical billing and coding specialist in a busy group family practice. He is going through training for the first 2 weeks of his new position and is trying to learn all he can about coding using CPT codes. He comes across the need for special reports in certain circumstances. When is a special report needed for coding, and what should it include? Why do you feel this is so important when coding?

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Unlisted procedures in coding are summarized.

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The special report is used for unlisted procedures. It must be used so that the claim can be processed and the appropriate payment is decided, to the health care provider. ...

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Beatrice Martino, MEd
Education
  • MEd, Jones International University
  • BSc, DeVry University
  • MPH, Walden University
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