CPT code definition
Examples of CPT code in a sentence
The Contractor may not deny or pay less than the allowed amount for the CPT code on the claim without offering the provider the opportunity for a medical record review.
A spreadsheet of the Claims Review results that includes the following information for each Paid Claim: Federal health care program billed, beneficiary health insurance claim number, date of service, code submitted (e.g., DRG, CPT code, etc.), code reimbursed, allowed amount reimbursed by payor, correct code (as determined by the IRO), correct allowed amount (as determined by the IRO), dollar difference between allowed amount reimbursed by payor and the correct allowed amount.
The Contractor may not deny or pay less than the allowed amount for the CPT code on the claim without a medical record review.
Ordinarily, United’s fee schedule is updated using the original construction methodology along with the then-current RVU of the published CPT code.
The Contractor may not offer an ILOS until EOHHS has submitted a written notice of approval of the ILOS and its CPT code and rate and notified the Member as outlined in this Section.