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.
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