Pathology/Lab Coding Alert
GA-GZ:
Here's the 'A' to 'Z' of ABN Modifiers in Simple Chart Form
Published on Wed Jun 08, 2011
Use this table to pick the right modifier -- every time.
With four choices and changing definitions in recent years, ABN modifiers are a common cause of confusion.
Think of the modifier GZ policy change discussed in "GZ Will Earn Quick Denial Starting July 1" on page 43 as an opportunity to refresh your knowledge of all ABN-related modifiers.
At a glance: This table can help you sort out proper ABN modifier use for your claims.
Other Articles in this issue of
Pathology/Lab Coding Alert
- Anatomic Pathology:
88305, 88307: 3 Tips Bring Home Fibroid Pay
Don't let bundling and diagnosis quirks ambush your leiomyoma claims.If you're reporting your pathologists' fibroid [...] - ICD-10:
D25 Replaces 218 for Future Fibroid Diagnosis
You'll still use location to choose the right code.When your pathologist diagnoses uterine leiomyomas after [...] - ABN Modifiers:
GZ Will Earn Quick Denial Starting July 1
Plus GX is back for patient responsibility.When your Medicare payer processes a denial quickly, that's [...] - GA-GZ:
Here's the 'A' to 'Z' of ABN Modifiers in Simple Chart Form
Use this table to pick the right modifier -- every time. With four choices and changing [...] - Lab Compliance:
Expect Official Lab Requisition Physician Signature Retraction by Year's End
You shouldn't need to meet the requirement in the meantime.While you wait for CMS to [...] - You Be the Coder:
88307 Vs. 88309 Distinguish Prostate Service
Question: The pathologist examines a "simple prostatectomy" specimen with four right-pelvic lymph nodes. I know [...] - Reader Question:
236.2 Replaces Morphology Code for Billing
Question: The pathology report for an ovary specimen lists M8470/1 for the tumor registry diagnosis. [...] - Reader Question:
87077, 87081 Vie for CLO Test
Question: When the pathology report lists a CLO test for H. pylori from a stomach [...] - Reader Question:
88342, 88360, 88361 Need Clarification
Question: What CPT® codes should we report for breast specimen tests listed with the following [...] - Reader Question:
80061 Frequency Can Clog Claims
Question: The lab received a total cholesterol order for a 65-year-old established Medicare patient. His [...]
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