CPT Codes

Getting the correct CPT code for the right procedure is critical. CMS, of course, does not include CPT codes when it demands a higher amount for an MSA. CMS instead provides generic labels for the individual allocation items like: Lab Work, Physician Visits, MRI. This makes it very difficult to determine where you went wrong with the allocation and even more difficult to correct your mistake in the future since you cannot identify it.

We have been told that CMS does not provide the CPT codes because its subcontractor is not paid to provide CPT codes. This is very inefficient and does not help the allocators at all.