If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.

Name: If a CPT code stated on a claim form represents a lower level of service than is documented in the medical record, the procedure has been downcoded.
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Downcoding occurs when a procedure or service is reported with a CPT code indicating a lower level of complexity or a less intensive service than was actually performed or documented.

If a CPT Code Stated on a Claim Form Represents