RaeToll
Networker
I have a facility claim for CPT code 82043 for Microalbumin, Urine Random and CPT codes 82043-91 and 82570 for Microalbumin Creatinine Urine Ratio denied by Medicare as "number of units not supported". Both orders were placed at the same time from the same provider.
If anyone has experience with this, can I bill the second CPT 82043 with Modifier -59 or -QP? Or is it just not going to be paid for 2 units?
Modifier -59 Distinct Procedural Service (Hospital OPPS Modifier)
Modifier -QP Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a CPT-recognized panel other than automated profile codes 80002-80019, G0058, G0059, and G0060
CPT code 82043 for Microalbumin, Urine Random
CPT codes 82043-91 and 82570 for Microalbumin Creatinine Urine Ratio
If anyone has experience with this, can I bill the second CPT 82043 with Modifier -59 or -QP? Or is it just not going to be paid for 2 units?
Modifier -59 Distinct Procedural Service (Hospital OPPS Modifier)
Modifier -QP Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a CPT-recognized panel other than automated profile codes 80002-80019, G0058, G0059, and G0060
CPT code 82043 for Microalbumin, Urine Random
CPT codes 82043-91 and 82570 for Microalbumin Creatinine Urine Ratio