if the correct CPT code is not known and narrative description or the procedure or service rendered can we use for a third party claims true or false?

Respuesta :

review returned or denied claims to ensure that the procedure codes reported are correct 

if there is a coding error, prepare and submit a corrected claim 
>Errorrs should always be corrected, but will not always eliminate an accusation of fraud 

when there is no coding error, prepare an appeal if there are grounds to do so