• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Please help - Medicare Denial Procedure code 86038 due to frequency

Messages
1
Best answers
0
I have been on the CMS website, the Noridian website and I am struggling to find any updates on if CPT code 86038 limitations for frequency have changed. It used to be every 3 months the patient could have this done, but as of November 1st I have received 8 denials for this procedure due to frequency
. Any recommendations as to where to find an update on this code or any lab procedure codes that may have new limitations on them? 86038 is the Antinuclear antibodies (ANA) lab testing.

Any help would be greatly appreciated.
Thank you,
 
Top