Wiki Referring Doctor for Labs per Medicare.

[bmanus]

Good Morning,

I have just received a denial from Medicare for 88305 for missing referring doctor information. Does 88305 require a referring doctor for submission? If so could someone please direct me to this information in the Medicare Billing Manuel.

Thank you in advance for any help with this question.

Beth

 

[MaryG215]

Yes, for 88304, 88305, etc. you must have a referring provider.