Wiki MUE and NCCI 88341, 88342, 88360

[angelerulastiel]

I work for a lab and we're having issues with pathology billing for 88341, 88342, and 88360. Fairly regularly we are performing more than 13 units of 88341 with 88342 and 88360. We have been billing with -XU on 88342 and 88341 due to the NCCI edits bundling into 88360. However, we then get a denial for all units of 88341 for MUE. How is everyone else billing these so that you get paid?

 

[WattsElizabethC]

88341 has an MUE of 13. When billing more than the MUE, I split the overage onto a seperate charge line. 88341 x13 88341 x2. We occasionally get denials for both lines of 88341. We appeal with records to show that we are billing for distinct antibody stains. I hope this info helps you!