My insurance company needs the CPT or procedure codes for my test; what are they?
CPT codes are five-digit codes that are used to identify services and procedures that are provided by health care providers. These codes are developed and maintained by the American Medical Association. Many of these codes are “generic” and may be used to describe several distinct services. Some codes are followed by a multiplier (eg. 83520 X 5) indicating that a procedure code is billed more than once for a particular service. When providing your insurance company with Prometheus’ CPT code descriptions for each of our tests, you must provide all of the codes with their multipliers and descriptions so that the insurance company can properly determine your potential reimbursement. A prior authorization is not a guarantee of payment.
Related Questions
- The doctor charged $3,500.00 for a medical procedure and insurance company only paid $2,000.00 because they say this is the UCR amount. Can they do this and do I owe the difference?
- My insurance company needs the CPT® or procedure codes for my test. What are they?
- My insurance company needs the CPT or procedure codes for my test; what are they?
