Applying Your Knowledge

Case $13\mathrm{.}1$ 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$.$ LO $13\mathrm{.}4,13\mathrm{.}5$ Dx R$63.4$ CPT $80048$POS $25$

B$.$ LO $13\mathrm{.}4,13\mathrm{.}5$ DX J$96\mathrm{.}10$CPT $99241\mathrm{.}22$

C$.$ LO $13\mathrm{.}4,13\mathrm{.}5$ Dx O$63\mathrm{.}2$CPT $54500$