Wiki CPT 87220 denials

[aldorsey]

Is anyone else having problems with CPT 87220 denying? It denied for "a test identifier" all of a sudden. Any advice would be greatly appreciated.

 

[Sarahp941]

Frustrating

Yes! All payers are having problems with these, all of a sudden. Medicare wants a CLIA # and commercial payers want the test identifier #. That is because technically this is a Lab/Path CPT Code, so they are looking for the Specimen # that would normally come from a registered lab report. We have recently submitted all claims adding the CLIA #, and are still waiting response. I will post if they paid or denied, once received. Hope that helps