Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 Vern - There is no CPT code for a missed appointment or failure to show for an appointment. Since no action was done, no code exists. Health care providers can establish a fee for such incidents, but since it is an issue of patient responsibility it would be highly unusual for any third party payor to reimburse for a patient failing to keep an appointment. If you software requires some type of five digit identifier, you could create anything for in office purposes. Under Oregon Workers' Compensation (436-009-0015), there is no fee for missed appointments except for a closing exam, an evaluation requested by the Workers' Compensation Division, an exam requested by the insurer, or for a Worker Requested Medical Examination unless 24 hours notice is given. Then the charge is 50% of the examination or testing fee. The code used in this case is P0005, but this is specific only to Oregon Workers' Compensation for the circumstances outlined above. Tom Freedland Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 Yes, it’s called getting “86’ed”. Terry Petty, D.C. " No Show CPT Code? " Can anyone tell me the CPT code for a " no-show? " Tanks, Vern Saboe, DC Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 Well since the PIP carriers now must follow the W/C fee schedule would not P0005 apply? Vern Saboe Re: "No Show CPT Code?" Vern - There is no CPT code for a missed appointment or failure to show for an appointment. Since no action was done, no code exists. Health care providers can establish a fee for such incidents, but since it is an issue of patient responsibility it would be highly unusual for any third party payor to reimburse for a patient failing to keep an appointment. If you software requires some type of five digit identifier, you could create anything for in office purposes. Under Oregon Workers' Compensation (436-009-0015), there is no fee for missed appointments except for a closing exam, an evaluation requested by the Workers' Compensation Division, an exam requested by the insurer, or for a Worker Requested Medical Examination unless 24 hours notice is given. Then the charge is 50% of the examination or testing fee. The code used in this case is P0005, but this is specific only to Oregon Workers' Compensation for the circumstances outlined above. Tom FreedlandOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2004 Report Share Posted October 13, 2004 The new PIP rule appears to apply to fees only. It does not appear to carry over to other applications. Were one to be able to use this code, one could then argue that other aspects of the W/C rules would also apply. I think we had that discussion earlier. That is one Pandora's box I believe should be left closed for the time being. Tom Freedland Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.