• 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 Professional or Institutional claim?

Messages
26
Location
Jupiter, FL
Best answers
0
The lab is performing the testing and billing,
and there is an ordering medical director for the test.

Therefore, should I, lets say, for BCBS,
be billing on an institutional claim, or a professional claim,
as an out of network lab?

And Neurotin (gabapentin) is a frequently abused drug by people in recovery,
they often steal a roommates medication, or take large amounts of the medication to experience a high.

80355 Gabapentin, non-blood, does not crosswalk with a substance abuse ICD code, since it is used for primarily for epilepsy and nerve damage. should I just use 304.90, although it doesn't crosswalk? or should I use
V72.60 Laboratory examination, unspecified, which does.
 
What type of provider is billing for the lab test?

Hospital - UB04 facility/institutional claim

Doctors office (non provider based billing to medicare) - Everything on the 1500 hcfa form (lab test + office visit)

Free standing lab - depends on your contract.

(15 yrs exp billing)
 
Hi gene.

Its a free standing lab.
The taxonomy code is 291U00000X Clinical Medical Laboratory
with an organization ownership

right now I'm using hcfa 1500
electronic with collaborate md
 
Top