I am trying to find out if there is anything against changing a procedure code from what the doctor ordered. The example that I have is A doctor will order a PSA (84153) with a diagnosis of V76.44. For Medicare the right procedure code is G0103. When we see the 84153 is ordered we change it to the G0103. Another example is the General Health Panel a doctor will order all three tests (84443,80053,85025) certain insurance companies what these test bundled so we change this to the procedure code 80050.
Does the ordered procedure code from the doctor have to match what we bill in these examples? I have been told that we have to ask the doctor to change the coding on these examples and I would like to verify this because we are still performing the test that was ordered.
Thanks for the help
Does the ordered procedure code from the doctor have to match what we bill in these examples? I have been told that we have to ask the doctor to change the coding on these examples and I would like to verify this because we are still performing the test that was ordered.
Thanks for the help