megmom72@gmail.com
Contributor
We billed 89264 (sperm identification) with modifier 26 and Medicare denied it only saying modifier inappropriate for this pathology test.
The physician extracted the sperm after doing exploration of the right testis and put it in the microscope. However, it seems the specimen wasnt significant enough that nothing was identified. Hence, another specimen was collected and sent out to outside lab for actual testing. The report was certified by a pathologist and copy given to our physician. Can he still charge for the 26?
The physician extracted the sperm after doing exploration of the right testis and put it in the microscope. However, it seems the specimen wasnt significant enough that nothing was identified. Hence, another specimen was collected and sent out to outside lab for actual testing. The report was certified by a pathologist and copy given to our physician. Can he still charge for the 26?