You are reporting an unlisted procedure code that requires a very lengthy narrative description. Determine the best way to present this information to the payer.
A) Provide a special report.
B) Write a description in the margin of the CMS-1500 claim form.
C) Wait until information is requested from the payer.
D) Write part of the description in Item Number 19 as space allows.

Question

Quizplus · Accepted Answer

A special report is the best way to present a lengthy narrative description for an unlisted procedure code to the payer. This allows for a detailed explanation of the procedure, including its complexity, the time involved, and the equipment used, which is necessary for proper evaluation and reimbursement by the payer. Writing in the margins or waiting for a request from the payer is not a proactive or sufficiently detailed approach, and space on the CMS-1500 form is limited.

You Are Reporting an Unlisted Procedure Code That Requires a Very