The CPT manual contains an extensive list of over 10,000 codes, but it may not always include a code for unique or complex procedures that deviate from the norm due to special circumstances. In such cases, unlisted procedure codes and modifier 22 can be used to communicate these special situations to insurance companies. However, relying on these codes can lead to challenges, as insurance companies often deny these claims, resulting in delays in reimbursement and requiring extensive appeal efforts by physician's staff.
This session will explore the use of unlisted procedure codes and modifier 22, offering guidance on how to effectively document and bill for these cases. Additionally, it will discuss strategies for minimizing the need for these codes and navigating insurance company denials to ensure timely and accurate reimbursement.
This webinar aims to provide attendees with a comprehensive understanding of how to effectively use unlisted procedure codes and modifier 22 to communicate unique or complex procedures to insurance companies. Attendees will learn strategies for minimizing the need for these codes, navigating insurance company denials, and ensuring timely and accurate reimbursement.
Physicians, Scribes, Prior Authorization, Qualified Healthcare Professionals, Biller, Claims Adjuster, Nurses, Coder, Medical Assistants, Surgery Scheduler