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  #1  
Old 08-21-2008, 06:27 AM
cowgrl4ever cowgrl4ever is offline
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Default cpt 99000

Hi there..one of my practices wants to use this code twice in one day (ex..99000-for blood and 99000-for pap) I say we can't do this, it can only be charged one time. However can someone give me a set reason as to why so I can explain it to the manager of the practice. Thank you.
PS..I am aware of the payment issues of this code.
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Old 08-21-2008, 10:46 AM
ARCPC9491 ARCPC9491 is offline
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If you are just collecting the specimen and not actually transporting to the lab, you cannot charge for 99000.

Here is the lay description: This code is adjunct to basic services rendered. The physician reports this for the handling and/or conveyance of a specimen from the physician's office to a laboratory.

There's a misconception that you can use this code for "specimen handling" only - but there's the second part for the handling/conveyance to the laboratory itself.

But if you do transfer to the lab, by all means bill it. But, we use it one time only, no matter how many specimens are collected. It just seems right and logical. I don't really have an explanation, except for like you said about the payment issues, they bundle it anyway, so your write offs are just going to be higher if you are charging it multiple times.
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Old 08-21-2008, 09:35 PM
jlalmond jlalmond is offline
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Default more info please

Does anyone have any more info on this? I am a part of a large hosp/physician organization and we were told to bill 99000 for any specimen that goes to outside lab. We only bill it once per day per patient even if more than one specimen. Most ins. do not cover and charge gets adjusted off for those contract issues. Our patients who do not have ins. coverage must pay since they do not have a contract. They get charged for the lab test, venipuncture and spec. handling. Our outside lab provides supplies and picks up specimens. Our staff does "handle" the specimen and prepare it for transport but it just doesn't seem fair to charge extra just for that. If anyone has anything else on this, I'd really appreciate it.
thanks
jennifer, cpc
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Old 08-25-2008, 06:24 AM
cowgrl4ever cowgrl4ever is offline
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Thank you for your help, we are sending it to the outside lab and I am just trying to find out if there is a "true" reason that I tell the manager to not charge for this twice. Have a good day.
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Old 06-15-2009, 12:31 PM
lblanchette lblanchette is offline
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Default Cpt 99000

Question: If you bill 87045, 87427, 87046, 87328 with 99000. Doesn't there need to be a primary code listed with this code or not with 99000? I have used Encoder to do Compliance Edit and it tells me to remove the 99000 or add the primary code to use this code? Is that a correct statement or can code 99000 be billed alone with these labs?

Thanks,
Lisa
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Old 02-17-2012, 10:52 AM
smcannon smcannon is offline
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Default 99000

If you bill 99000 for a patient who gets blood drawn at our office but we use an outside lab but the tech is in our office, can I bill 99000 and place 81 in the place of service for (outside lab transport) will this get paid?

Thanks, Sharon
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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