Ethics in Medical Coding

A new outpatient procedure is being performed at the hospital where you are employed as a coder. There is a CPT code for the procedure that is being performed. There are also 2 separate CPT codes that also describe the procedure that was performed. You have been told by administration that you should code the 2 separate codes because it will net better reimbursement but the single CPT code is the appropriate code. What would you do? Explain your response to the administrator.

1 page, approx. 200 words

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Since the procedure has already been performed on the outpatient, I would use the appropriate code due to accuracy, whereby the code usefully and accurately represents the procedure performed by the healthcare provider. Despite the request to present two separate…

(250 Words)