Pediatric Coding Alert

Reader Questions:

Does 99000 Require Outside Lab, Urine Culture?

Question: I was under the impression the handling fee was only for labs that our office sends out, not for labs that we perform in-house. A patient comes in and we do the urine dip in-house and send the specimen to a lab for a culture. Can we charge a handling fee for the culture? Suppose a patient has an in-house strep and we send the specimen out for culture. Does 99000 apply to urine and blood specimens only, or can I use the code for throat cultures as well? Kentucky Subscriber Answer: You are correct in your understanding of 99000 (Handling and/or conveyance of specimen for transfer from the physician's office to a laboratory): Reserve the code for packaging, handling, and conveyance of a specimen that your office sends to an outside lab. You can use 99000 to "reflect the work involved in the preparation of a specimen prior [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Pediatric Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.