bkemp15628
Contributor
Hi everyone,
I am hoping some one with lab knowledge can help. A fellow colleague ask me if a charge with the modifiers were correct. The coder billed 88342 / TC and 88342 / 26 on the same invoice/claim. The higher cost was denied, which is to be expected. I explained the difference in the modifiers and that I was not aware of any changes in that they could be billed on the same claim on separate lines. I even copied the AAPC information. The coder had come back with the explanation that it was billed correct per MCR MUE allowed units. No changes required.
My knowledge is more geared to the radiology portion so I could be very wrong. I have not kept up with the lab billing or the like.
I am hoping some one with lab knowledge can help. A fellow colleague ask me if a charge with the modifiers were correct. The coder billed 88342 / TC and 88342 / 26 on the same invoice/claim. The higher cost was denied, which is to be expected. I explained the difference in the modifiers and that I was not aware of any changes in that they could be billed on the same claim on separate lines. I even copied the AAPC information. The coder had come back with the explanation that it was billed correct per MCR MUE allowed units. No changes required.
My knowledge is more geared to the radiology portion so I could be very wrong. I have not kept up with the lab billing or the like.