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. 2019 Feb 6;80(Suppl 2):S247–S254. doi: 10.1055/s-0039-1677682
Coding strategy for an unlisted code ENT reports NS
reports
Comments
1. Both surgeons report the same unlisted code 64999 64999 Some payers will recognize this and reimburse accordingly while others will reject the claim as unprocessable.
2. Both surgeons report the same unlisted code with modifier 62 64999–62 64999–62 CPT guidelines state not to use a modifier on an unlisted code. However, some payers do recognize modifier 62 on an unlisted code.
3. Both surgeons report their own unlisted code 31299 64999 More frequently recognized by payers and reimbursed.