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

Latest posts by admin aapc (see all)

One Response to “TrailBlazer Implements New Lab Edit”

  1. William J Wilson says:

    Good stuff to present a commonly ordered Blood tests. A group of various test used to determine disorders, malfunction and injuries of liver. The test included in this panel are aspartate aminotransferase, bilirubin (direct and total), protein (total and serum), serum albumin, serum alkaline phosphatase. This hepatic function panel test is recommended to diagnose hepatitis and other viral infections of liver as well.

Leave a Reply

Your email address will not be published. Required fields are marked *