lab coding

  1. J

    Wiki GR modifier for labs

    I'm looking for clarification on lab modifiers. Resident performs biopsy so the -GR modifier is added to the procedure code. The GR modifier does not go on the lab test, correct? In my research, I have not found anywhere that states GR is an appropriate modifier for lab codes as the resident...
    • jademound
    • Thread
    • gr modifier lab coding modifiers resident
    • Replies: 0
    • Forum: Modifiers
  2. M

    Wiki In house quantitative UA

    Hello, I'm confused on how to bill out these new labs. The clinic is using a machine to spin out the urine, so i'm thinking it would be 81015 and all the additional chemistry codes would be included in this code. Although, the consultants that the clinic is using disagree and say to bill out...
  3. S

    Wiki CLIA #

    We have a current patient on Accutane with UHC and they keep denying her HCG stating that our CLIA certificate level is PPMP and the codes certificate level is "waiver.". We were advised to have our certificate level changed to "Waiver". I just don't think this is correct, our CLIA certificate...
  4. J

    Wiki 87077

    Coding outpatient, physician office labs. I am uncertain if coding 87077 x2 for the following scenario is accurate: When 87077 is ordered by one of our physicians and lab results indicate: 1. positive for Staph Aureus, then 87077 bills x1 (using a Staph Latex test) 2. negative for Staph Aureus...
  5. M

    Wiki Z34.XX vs Z36

    When should Z36, encounter for antenatal screening of mother, codes be used? I'm not understanding the difference between Z34.XX and Z36 codes. In what situation would both be used vs just Z34XX. A lot of our OB providers with code both Z36.89 and Z34.XX. It seems like Z34.XX covers most...
    • MLH614
    • Thread
    • lab billing lab coding ob coding screening z34 z36 z36.89
    • Replies: 1
    • Forum: OB/GYN
  6. J

    Wiki COVID19 LAB BILLING/ ICD10 CODING/ ADD DIAGNOSIS FROM RESULT REPORT BEFORE BILLING 87635

    LAB CODERS HELP! I WORK FOR AN INDEPENDENT LAB. THEY ARE ASKING WOULD THE LAB EVER ADD U07.1 (CONFIRMED POSITIVE COVID-19) BASED ON POSITIVE TEST RESULTS FROM THE LAB NOT THE PHYSICIAN BEFORE FILING THE CLAIM? FOR EXAMPLE IF THE REQUISITION FORM/ LAB ORDER ONLY INCLUDED ICD10 REASON FOR...
  7. A

    Wiki U0002 vs 87635

    Hello Can anyone guide me to the info or explain the difference between U0002 and 87635? Also are these codes only used by the laboratories such as Quest and LabCorp?
  8. L

    Wiki COVID-19 rapid testing

    Does anyone know what code is being used for the new Abbot 5 min. Covid-19 testing?
  9. A

    Wiki Incomplete blood draw?

    How do I bill for a blood draw where no blood was taken? The note states there was very poor venous access and could not get a good stick. The patient was sent home and scheduled to come back in a couple weeks to retry it. Is it possible to bill it as an incomplete 36415, or would this just not...
  10. M

    Wiki 87210 vs 87220??

    Can someone help me by explaining the difference between these two codes: 87210 Smear, primary source with interpretation; wet mount for infectious agents (saline, india ink, KOH prep) 87220 Tissue examination by KOH slide of samples from skin, hair, or nails for fungi, ectoparasite...
  11. S

    Wiki CPT 80305/G0480 coding

    CPT 80305/G0480, these test would include CPT 80329 and 80320 when performed unless done as a repeat test in which would be filled separate with Modifier correct?
  12. A

    Wiki Bariatric Screening Lab?

    BCBS is denying our labs that we have ordered on our Bariatric patients due to not medically necessary. We order these to see if there are any comorbidities that the patient/physician isn't aware of. This really wouldn't be considered pre-operative lab work, as we haven't scheduled the surgery...
  13. S

    Wiki New to Lab coding! CPT code 84443 and it's dx

    Just started coding for labs and doing someone else's f/u on a denial for code 84443. Code was denied because they used dx code R73.09. Any information would really really help!!
  14. T

    Wiki Lab coding clarification

    I have been told to code by the results of the lab. That isn't right is it. We can only code symptoms or diagnosis not abnormalities etc.... need to have some documentation to back that up. any one out there that can point me the right direction please or anyone that has articles please give me...
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