Top No Surprises Act disputes by type of CPT code

Emergency departments services comprised two-thirds of CPT codes submitted in No Surprises Act disputes between April 15 and Sept. 30, according to CMS’ initial report on the independent dispute resolution process. 

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By: Andrew Cass

Here are the top disputes by type of CPT code:

1. Emergency department services (CPT codes 99281 – 99288) — 66 percent 

2. Radiology (70010 – 79999) — 9 percent 

3. Anesthesia (00100 – 01999) — 7 percent 

4. Surgery (10004 – 69990) — 5 percent 

5. Pathology and lab (80047 – 89398) — 4 percent 

6. Neurology and neuromuscular procedures (95700 – 96020) — 4 percent 

7. Critical care services (99291 – 99292) — 4 percent 

8. Cardiovascular procedures (92920 – 93799) — 3 percent 

9. Hydration, therapeutic, prophylactic, diagnostic injections and infusions, and chemotherapy and other highly complex drug or highly complex biologic agent administration (96360 – 96549) — 3 percent 

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