• 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 Technical component - Inpatient hopsital

Create Wiki
S

skumar

Contributor
Messages
16
Best answers
0
Hi,

Some one can help me out to find the reason for denials, when I code the 88305, 88307 for the inpatient hospital technical component for Medicare. They are denying the charges with reason LCD 27503. Is there any special rule to code the technical component for surgical pathology to code for Medicare patients.

Your input is highly appreciated. Please reply.

Thanks
Suresh
 
I'm a coder, not a biller, but I can see if I can help you find your answer. Are you billing for an independent lab or something different? I work for an independent lab. We cannot bill Medicare for the technical component if the patient is hospital status. The hospital bills Medicare for this service, and we bill the hospital. This link might be helpful: https://www.codeitrightonline.com/c...for-hospital-anatomic-pathology-services.html

Also, if you were given an LCD to reference, did you look up the LCD and compare that to the case you billed?
 
You must log in or register to reply here.
Top