183k views
4 votes
How should procedures designated as "each" in the CPT manual be coded/billed?

a-They should be billed as individual line items on the claim form.
b-only one service should be billed on the claim.
c-They should be billed as per unit on the claim form.
d-each procedure should be billed on separate claims.

User Aestrro
by
7.4k points

1 Answer

2 votes

Final answer:

Procedures designated as "each" in the CPT manual should be billed per unit on the claim form to accurately represent each instance of the procedure performed.option c

Step-by-step explanation:

When coding procedures designated as "each" in the CPT manual, they should be billed as per unit on the claim form. This means that for procedures that are performed more than once or on multiple sites, each instance of the procedure should be accounted for on the claim form using the appropriate units.

So the correct response would be (c) They should be billed as per unit on the claim form. By using unit-based billing, healthcare providers can ensure that they are accurately reimbursed for each individual instance of a procedure performed. This is in contrast to billing all instances as a single service or on separate claims, which could result in incorrect payment amounts.

User Lasso
by
7.2k points