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When You Have to File an Insurance Claim for a Procedure

Question 141

Multiple Choice

When you have to file an insurance claim for a procedure that is not listed in the Physicians' Current Procedural Terminology, what should you do?


A) File a claim for the procedure that is closest to the unlisted one.
B) Look for a code in the ICD-9-CM.
C) Read the guidelines for such procedures in each section, and file a special report that describes and explains the extent and reasons for service.
D) You cannot file a claim for an unlisted procedure.

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