CPT^® 83036, Under Chemistry Procedures

The Current Procedural Terminology (CPT^®) code 83036 as maintained by American Medical Association, is a medical procedural code under the range - Chemistry Procedures.

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Summary

Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months). The higher the amount of blood sugar, the more the quantity of sugar attached to the blood cells. This A1C test measures the amount of sugar sticking to the red blood cells, displaying the result as a percentage. This gives the physician an understanding about the blood sugar level of the patient for the preceding three months. A normal, healthy person should have A1C level below 7%.

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View matching HCPCS Level II codes and their definitions.

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Billing A Physical & Labs

I have some insight on this from my coding rejections and working denials in the laboratory field. Patient contacts their provider for their upcoming "physical" and wants their "annual" labs done. Pro... [ Read More ]

Cpt code issue new A1C codes

[QUOTE="Krystie312, post: 469890, member: 508968"] I am having an issue with BCBSM not recognizing any of the codes, 3045F, 3051F or 3052F. I have called them 3 times and was told I had to do an appe... [ Read More ]

Level II CPT Code for Quality Metrics

We were having issues with BCBS Medicare (VT Blue) denying 83036, when I called them I was told that we needed to submit the CPT level II code each time to get it paid. I just add the appropriate code... [ Read More ]

Professional/Technical component - Lab codes

I need help with laboratory codes getting denied as "payment based on professional/technical component." , Examples being - 87653, 80061, 83036, 82947 How do I resolve such denials?... [ Read More ]

WELLNESS LABS: Medicare and Private payers

I work for a provider based clinic, and now a Provider based Rural Health Clinic. All of of labs are billed through our Hospital as out patient Place of service. We have had patients come in for Welln... [ Read More ]

83036 A1c help with payment

We have to put a referring physician on the 83036 with the QW. Maybe they are looking into more specific dx code. Every payer and state is different. I would check with the payer.... [ Read More ]

83036 A1c help with payment

I work for Primary Care office. Patient came in for A1C check. DX was E11.9. Billed to BC insurance 99213, 83036- QW, 3051F Insurance denied payment of 83036 stating "We cant pay for this service unl... [ Read More ]

Glycated protein/Hemoglobin; glycated

We have billed both labs 82985 (QW for Medicare) and 83036 (QW for Medicare) and frequency limits are every 90 days.... [ Read More ]

Glycated protein/Hemoglobin; glycated glycated protein

We are trying to see if we are able to bill 82985 (Glycated protein) at the same time as 83036 (Hemoglobin; glycated) and if there are limitations on frequency. There is no Medicare LCD and very litt... [ Read More ]

Medicare denial for 83036

[QUOTE="SharonCollachi, post: 497994, member: 654943"] Put it on a line by itself, with a zero dollar charge, or if your system won't let you do that, put a one cent charge on it. like this: 83036..... [ Read More ]

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