WK6 DISCUSSION1 HP-213

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WK6DISCUSSION1HP-213.rtf

WK6 DISCUSSION1 HP-213

COMPLETE WITH 250 WORDS IN DETAIL

Unlisted Procedures or Services and Special Reports

A special report is included electronically with an insurance claim as an attachment that explains why an unlisted procedure or service was performed on a patient rather than a regularly listed CPT Category I code in the Tabular section. As a medical coder, this is a very important step!

Apply your understanding of the proper use of special reports.

Include the following aspects in the discussion:

  • Describe at least two reasons why an unlisted procedure or service would be coded
  • Provide two examples of additional information would be included in a special report
  • Select one unlisted procedure code from the Pathology and Laboratory section and include the description of the code
  • Discuss what types of ramifications could result if a special report is not included with the insurance claim