Wiki How do I bill for blood draw for BRCA gene testing?

[mauadajar]

Pt was seen for an e/m plus the blood draw. How do I bill it?

Aetna Better Health denied all of these:

99214, 25 and 36415
99214,36415
99214,25 and 36415, 59


They said that there should be a modifier next to 36415. I do not know which one to use.

 

[philipwells]

It's payer specific here in Alabama. We bill either a 90 modifier or a 33 modifier depending on the payer.

When billing an office visit with a blood draw, you'll never need a 25 modifier on the office visit.

25 modifier only for injections or minor procedures on the same day,