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Reimbursement Policy ManualPolicy #:RPM023Policy Title:Procedure Codes Assigned to Surgical Benefit CategoriesSection:SurgerySubsection:Borescope: This policy applies to the following Medical (including
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How to fill out procedure codes assigned to

01
Gather all necessary information related to the procedure being performed.
02
Locate the appropriate code set (such as CPT, ICD-10, HCPCS) for the procedure.
03
Review the code set guidelines to ensure accurate code selection.
04
Assign the appropriate procedure code to the performed service.
05
Double-check the accuracy of the assigned code before submitting it.

Who needs procedure codes assigned to?

01
Medical coders
02
Healthcare providers
03
Insurance companies
04
Healthcare facilities
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Procedure codes are assigned to specific medical procedures, services, or treatments performed by healthcare providers for billing and documentation purposes.
Healthcare providers, including hospitals, clinics, and individual practitioners, are required to file procedure codes for the services they render to patients.
Procedure codes should be filled out on medical billing forms, ensuring that each code accurately corresponds to the services provided and complies with applicable coding guidelines.
The purpose of procedure codes is to standardize billing and facilitate the processing of claims between healthcare providers and insurance companies.
The information that must be reported includes the procedure code itself, a description of the service, the date of service, and any relevant patient and provider details.
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