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An Ethical Coding Perspective
David Reiter, MD, DMD, MBA
Arch Facial Plast Surg. 2001;3:138-140.
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INTRODUCTION
Facial plastic surgery is a unique milieu in which to practice. We do
a variety of procedures for which insurance reimbursement is provided, many
others for which no coverage is available, and a third group for which qualification
for third-party indemnification may or may not apply, dependent on the indications
in a given patient. This scenario gives rise to what I have come to call "coding
anxiety."
Our legislators and regulators mandate that we charge the same fee for
the same procedure regardless of the circumstances under which that service
was rendered; to do otherwise is deemed discriminatory. The identifier for
that service is the code we assign to it from the Current
Procedural Terminology (CPT),1
and the basis for that assignation is the procedural description in this manual.
Certainly, those descriptions are neither voluminous nor all encompassing,
but they are generally specific . . . [Full Text of this Article]
CODING COMPLEXITIES AND AMBIGUITIES
A REASONABLE APPROACH TO CODING
CONCLUSIONS
From Jefferson Medical College, and Thomas Jefferson University Hospital,
Philadelphia, Pa.
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