If the practice knows that an operative or progress note will be required to support the CPT code, how is that submitted electronically – or with the initial submission to avoid delay of payment?
Generally, the percentage of claims requiring additional medical notes for processing is small. When such claims appear, providers are contacted, via letter, when that information is needed. Providers who want to send additional medical notes information should use the NTE Segment of the 2300 Loop in the 837 electronic claim. Providers should NOT send unsolicited medical notes on paper as they cannot be attached to the electronic claim.
Related Questions
- If the practice knows that an operative or progress note will be required to support the CPT code, how is that submitted electronically - or with the initial submission to avoid delay of payment?
- Is CPT code 99363 billed in addition to another Evaluation and Management (E/M) code or is it submitted alone?
- Which Code of Practice for Buildability does this eBDAS module support?
