What does the medical abbreviation CPC mean?

The medical abbreviation "CPC" stands for "clinically proven claim." It is used in the context of medical billing and coding, specifically when there is a significant or exceptional event that necessitates an extra level of documentation or justification.

In such cases, providers may use the CPC indicator (clinically proven claim) while submitting medical claims for reimbursement. It implies that there is clinical evidence or documentation to support the level of service provided, usually for complex procedures or unusual circumstances that fall outside the typical standards.

By adding this indicator, healthcare professionals aim to ensure that insurance carriers or other payers will appropriately review the claim and consider all the relevant factors before making any decisions regarding payment or coverage. The use of CPC helps to facilitate accurate and efficient processing of medical claims and prevents disputes or discrepancies.