What does the forbidden symbol in CPT indicate?

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The forbidden symbol in the CPT coding system signifies that a particular code is exempt from the use of modifier -51, which is the modifier used to indicate multiple procedures performed during the same session. When a code bears this symbol, it informs the coder that the procedure is considered a primary service and should not be appended with modifier -51, signifying additional or secondary procedures. This ensures that claims accurately reflect the nature of the services provided and helps prevent denials or reductions in reimbursement due to inappropriate modifier usage.

Understanding the implications of the forbidden symbol is crucial for accurate coding and billing in healthcare, as it helps maintain compliance with coding guidelines and ensures that providers receive proper compensation for their services. The other options, while related to coding concepts, do not accurately represent the function of the forbidden symbol within the CPT coding framework.

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