TrailBlazer Implements New Lab Edit

Effective May 14, TrailBlazer Health Enterprises has instituted an edit for the following laboratory CPT® codes:

  • 80074 Acute hepatitis panel
  • 80076 Hepatic function panel

These lab services have been identified by the Part A/B Medicare administrative contractor (MAC) as having a high error rate through Comprehensive Error Rate Testing (CERT).

“These services are frequently denied due to lack of signed orders submitted as requested,” said the Jurisdiction 4 MAC.

Medical review will request orders for codes 80074 and 80076. An order must include the signature of the ordering physician for the lab service to be payable.

Source: TrailBlazer Health Enterprises Notice ID 14946

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