A coder finds a familiar CPT code in last year’s annotated book that has been deleted and replaced in the current edition required for claims. What is the correct action?
Select an answer to reveal the explanation.
Short Explanation
Old codebooks are nostalgia, not claim fuel. When a code is deleted this year, park it—use the current book’s replacement or revised path instead of hoping denials, homemade local codes, or modifier 52 will bless a zombie CPT.
Full Explanation
Professional coding requires the current CPT and HCPCS editions effective for the date of service. Deleted codes must not be reported; coders should use revised, replaced, or other currently valid codes per the current codebook and payer instructions. Continuing deleted codes, inventing local substitutes for external billing, or using modifier 52 to salvage outdated codes creates noncompliant claims. CCS-P practice includes maintaining current references aligned to the exam and billing year.