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Pathology/Lab Coding Alert

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See How Dx and Modifier Errors Can Derail Reimbursement

Published on Tue Jul 16, 2024

Question: The lab performed a urinalysis with microscopic examination for a patient with blood in the urine and painful urination. The physician also ordered a culture. We billed for 81001-QW and 87086 with ordering diagnosis code Z11.2 but the claim was denied. How can we code this correctly? Oregon Subscriber Answer: You should use the reported signs and symptoms as the ordering [...]
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