danachock
True Blue
Hi - I am hoping someone can help with an issue I am having with these denials. Our lab does a send out on the Prometheus Thiopurine Metabolites - that laboratory test requires us to bill out 82491 x2.
We are finding with many of our payers that they will pay for the first one, but won't pay for the second one. At this point I feel we have tried everything - using 59, or 76, or 91 modifier. I was told to process them under CPT 82492 instead. Does anyone have any thoughts or success billing this out?
Thanks for any advice in advance on this,
Dana Chock, CPC, CCA, CANPC, CHONC
Anesthesia, Pathology, and Laboratory Coder
We are finding with many of our payers that they will pay for the first one, but won't pay for the second one. At this point I feel we have tried everything - using 59, or 76, or 91 modifier. I was told to process them under CPT 82492 instead. Does anyone have any thoughts or success billing this out?
Thanks for any advice in advance on this,
Dana Chock, CPC, CCA, CANPC, CHONC
Anesthesia, Pathology, and Laboratory Coder