Coding Challenge / E/M / modifier 90

Medical Coders: Use 36415 for Lab Draws

You have two options depending on the next step.

Question: Our vascular office performs blooddraws and analysis for a local hospital. Can we bill for a lab draw in an office setting, and if so, what codes should we use?...

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May 5, 2010
Coding Challenge

What Diagnosis Code Do I Use for a Fern Test?

Ob-Gyn Coding Tip: Scan for leukorrhea signs when fluid is present. Question: My physician performs a fern test on a patient, trying to rule out rupture of membranes. What diagnosis code applies? Answer: If the test result proves positive, then you should report 658.13 (Premature rupture of membranes with antepartum condition or complications). Otherwise, use V89.01 [...] Related articles:

  1. What’s the Correct Diagnosis Code for a Urine Drug Test?Question: What is the proper ICD-9 code when the lab...
  2. How Do I Code Suspected Lyme?Question: Our lab processes a blood specimen using a direct probe...
  3. Can’t Locate an H. Pylori Lab Test Code? 2 Clues Point the Way Solve CLO test culture code dilemma and other mysteries....

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November 30, 2009
Coding Challenge

Will a CLIA Waiver Help Our Practice’s Bottom Line?

Question: During a practice meeting last week, the subject of Clinical Laboratory Improvement Amendments (CLIA) waivers came up. We are currently not CLIA-waived, and we will discuss it again at next month’s meeting. I was wondering if you could offer any input? Should we apply for a CLIA waiver? Answer: Whether or not the waiver is [...] Related articles:

  1. POLs: Here Are the New ‘CLIA-Waived’ ProceduresEffective April 1, physician office labs will be able to...
  2. Does CNS Count as NP for Time-Based Coding? CNS = NP = PA for CPT, but Check...
  3. Can’t Locate an H. Pylori Lab Test Code? 2 Clues Point the Way Solve CLO test culture code dilemma and other mysteries....

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October 25, 2009