Which of the Following Is Not a Potential Reason for Downcoding

Multiple Choice

Which of the following is not a potential reason for downcoding?

A) The insurance carrier does not cover the services included on the claim.
B) The coding system used by the insurer does not match that used by the provider.
C) A workers' compensation carrier converts a CPT code to the lowest-paying code in the system.
D) The payer discovers that documentation does not back up the level of code used.
E) The provider uses a HCPCS code the insurer does not recognize.