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  #1  
Old 09-18-2008, 11:34 AM
dcarr dcarr is offline
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Default General Health Panel - CPT 80050

Since this is a non-covered lab by Medicare, and individual tests cannot be billed separately, how are your physicians handling this situation? Are most clinics/labs/etc. obtaining an ABN from the patient?
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Old 09-18-2008, 12:02 PM
ARCPC9491 ARCPC9491 is offline
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Yes, a valid ABN would need to be on file
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Old 08-12-2009, 08:00 AM
jlwatson jlwatson is offline
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I code for lab services and we unbundle the panel for Medicare and bill each included test individually. We bill for the Comprehensive Metabolic Panel, the CBC and the TSH. We have no issues with getting paid when billing this way.
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Old 08-12-2009, 12:58 PM
cheermom68 cheermom68 is offline
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Default 80050

Medicare allows you to unbundle this code to each individual code, however you must show medical necessity for each code separately. If they are just for screening or an uncovered diagnosis you would need the abn. Check the national coverage determinations for covered diagnosis for each lab as applicable.
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Old 03-15-2012, 12:40 PM
jamcculley jamcculley is offline
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Someone in our office said Medicare will not allow us to bill code 80050 to other insurance companies because "we have to bill everyone the same way." Can someone give me some guidance on this? Thank You
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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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