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Q: What must accompany the claim when using an unlisted code?
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If an unlisted procedure code is used what must accompany submission of the code?

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How to you CPT code this procedure?

I'm really not sure how to answer this...CPT code what procedure exactly? Every procedure has its own CPT code. If you cannot find the specific code for the procedure you are looking for, you submit the code for the unlisted code in that category, on a paper claim, with surgical notes. For example, if a patient has a diagnostic laparoscopy, without biopsies or anything else, you would use code 49320 (Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing [separate procedure]). If the patient had a laparoscopy and certain things were done during the procedure that none of the codes listed are able to describe, you would use the "unlisted" laparoscopy code, which is 49329, "unlisted laparoscopy procedure, abdomen, peritoneum, and omentum" and submit the claim on paper with surgical notes. Again, I'm not really sure what you are asking...I'm hoping this helps somewhat.