Ophthalmic Coding Specialist Study Questions

Answer: B - Before you include an unlisted services procedure code on a claim, you do NOT have to review Category II codes to make sure an appropriate code does not exist. In order to assign an unlisted procedures code, you first must review all of the CPT codes in that section to make sure a more appropriate code does not exist. You must also check to see a modifier is available to include on the claim. Lastly, before assigning an unlisted procedure code, you must check if a Category III code is more appropriate.