Wiki 80307 & G0483 Frequency Denial

amk93211

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We are billing 80307 and G0483 CPTs and we are receiving rejection for frequency, insurance (Medicare NC, Medicaid NC and UHC) is not stating appropriate frequency range or time frame. If anyone came across this type of issue, please let us know if anybody is having any solution.

Thanks in advance!
 
to my knowledge there is an NCCI edit for those codes, we bill 80307 Presumptive & G0480 definitive urine drug screens. To my knowledge G0483 is a combination of presumptive and definitive testing and therefore the billing of 80307 & G0483 are prohibited. And yes for these drug screen codes you are only able to bill once a day, from my knowledge so the units question asked by Mquick831 is a valid question.
 
If you are getting a rejection for frequency, perhaps you could tell us what frequency you are billing.

Also, if you're sending out a cup, and the lab is billing the same thing you are, that could be the problem.
 
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