Who requires a special report with the use of unlisted codes?

Question

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Third-party payers require a special report with the use of unlisted codes. This is because unlisted codes do not have specific reimbursement rates and require additional information to determine appropriate payment. AMA creates the CPT manual but does not require a special report for unlisted codes. The National Center for Health Care is not directly involved in the coding and billing process.

Who Requires a Special Report with the Use of Unlisted