Molecular Pathology procedures. We are a Tier 3 Lab.
This is not my forte but I have been assigned this task of fixing this coding and billing issue. Any help and guidance would be appreciated.
The codes we were billing for were:
81225 81226 81240 81241 81291 81400 81401 81355
These codes were paid until 10/7/2013. I found a LCD for First Coast today dated 10/7/2013. It is LCD#L33703.
My questions are:
1) What bill type should we use now? They used place of service 81 and now looks like that may have changed.
2) Is the code 81287 that I should be using ?
3) How can I make the transition for units on this code?
4) What would the reimbursement be on the code and should I send documentation with the initial billing?
Thanks in advance
This is not my forte but I have been assigned this task of fixing this coding and billing issue. Any help and guidance would be appreciated.
The codes we were billing for were:
81225 81226 81240 81241 81291 81400 81401 81355
These codes were paid until 10/7/2013. I found a LCD for First Coast today dated 10/7/2013. It is LCD#L33703.
My questions are:
1) What bill type should we use now? They used place of service 81 and now looks like that may have changed.
2) Is the code 81287 that I should be using ?
3) How can I make the transition for units on this code?
4) What would the reimbursement be on the code and should I send documentation with the initial billing?
Thanks in advance