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Outpatient Facility Coding Alert

You Be the Coder:
Don’t Leave Reimbursement on the Table With Incomplete Op Reports

Question: My physician performed a 38500, but did not document the closure. I inquired and he is opting not to include it in the operative report. Can I still bill out for the 38500 service? Utah Subscriber Answer: You should inform the physician that it’s inappropriate practice to leave an operative report incomplete. In fact, you can even go as [...]