Case 13.1 Auditing Claim Data

The following data elements were submitted to a third-party payer. Using ICD-10-CM, CPT/HCPCS, and place of service codes, audit the information in each case and advise the payer about the correct action.

A.Dx R63.4

CPT 80048

POS 25

Explanation

B. Dx J96.10

CPT 99241-22

Explanation

C.Dx O63.2

CPT 54500

explanation