When nonspecific procedure codes such as unlisted CPT codes are used, the claim must contain
A) extra diagnosis codes.
B) HCPCS codes.
C) modifiers.
D) service-line level description of the work or drug/dosage.

Question

Quizplus · Accepted Answer

When nonspecific or unlisted CPT codes are used, it is necessary to include a service-line level description of the work performed or the specific drug and dosage administered to provide the payer with enough information to process the claim. This helps in understanding what was done and why it doesn't fit into a specific, existing code.

When Nonspecific Procedure Codes Such as Unlisted CPT Codes Are